| Regimental number | 3917 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 7 Clifford Street, Torrensville, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Smith, 7 Clifford Street, Torrensville, South Australia |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Regimental number from Nominal Roll | 3917A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 16 January 1919 |
