| Regimental number | 6589 |
| Place of birth | Bowden South Australia |
| Religion | Methodist |
| Occupation | Mechanic |
| Address | Goodwood, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A F Smith, 72 Goodwood Road, Goodwood, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on |