| Regimental number | 1025 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 130 Stewart Street, Bathurst |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Elizabeth Smith, 130 Stewart Street, Bathurst |
| Enlistment date | 29 April 1915 |
| Rank on enlistment | Bugler |
| Unit name | 19th Battalion, C Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
