| Regimental number | 7802 |
| Religion | Church of England |
| Occupation | Farrier |
| Address | 275 Glebe Road, Glebe, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs C Smith, 275 Glebe Road, Glebe, New South Wales |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Farrier Sergeant |
| Unit name | Reinforcement 10 |
| AWM Embarkation Roll number | 13/33/1 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 16 March 1918 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
