| Regimental number | 561 |
| Place of birth | Chippendale New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | 22 Lyons Road, Camperdown, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A H Smith, 22 Lyons Road, Camperdown, New South Wales |
| Previous military service | 38th Infantry |
| Enlistment date | 28 June 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 1, Reinforcement 9 |
| AWM Embarkation Roll number | 24/6/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 6 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |