| Regimental number | 499 |
| Place of birth | Goodna Queensland |
| Religion | Roman Catholic |
| Occupation | Railway porter |
| Address | c/o T M Smith, Asylum, Goodna, near Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Smith, c/o T M Smith, Asylum, Goodna, near Brisbane, Queensland |
| Enlistment date | 2 November 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on 15 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
