| Regimental number | 11536 |
| Place of birth | Wallsend New South Wales |
| Religion | Baptist |
| Occupation | Miner |
| Address | c/o Mrs J A Smith, Dill Street, Kurri Kurri, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Mr Smith, Dill Street, Kurri Kurri, New South Wales |
| Enlistment date | 8 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | 5th Field Artillery Brigade, Reinforcement 3 |
| AWM Embarkation Roll number | 13/33/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 36th Heavy Artillery Brigade |
| Fate | Returned to Australia 11 May 1919 |
