| Regimental number | 12219 |
| Place of birth | Meredith Victoria |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Meredith P O, Meredith, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Brother, P J Smith, Meredith P O, Meredith, Victoria |
| Enlistment date | 30 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 6, Reinforcement 3 |
| AWM Embarkation Roll number | 13/34/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 2 January 1919 |
