| Regimental number | 19053 |
| Place of birth | Redfern New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E Smith, 106 Pitt Street, Sydney, New South Wales |
| Enlistment date | 18 March 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 22 July 1919 |
