| Regimental number | 3696 |
| Place of birth | Stanley Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | King Street, Burnie, Tasmania |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M Smith, King Street, Burnie, Tasmania |
| Enlistment date | 23 July 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/43/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
