| Regimental number | 7790 |
| Place of birth | Darlington, England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Auburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs A Smith, 'Mansfield', Auburn Road, Auburn, New South Wales |
| Enlistment date | 30 July 1915 |
| Place of enlistment | Warwick Farm, New South Wales |
| Rank on enlistment | Private |
| Unit name | First Australian General Hospital, Special Reinforcements |
| AWM Embarkation Roll number | 26.65.3RSSPEC |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 12 November 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 26 September 1917 |