| Regimental number | 4113 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Maltila, Salisbury Road, Willoughby, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Ellen Francis Smith, Kelndorp, Salisbury Road, Willoughby, New South Wales |
| Enlistment date | 6 May 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 17 March 1919 |
