| Regimental number | 5212 |
| Place of birth | Brunswick Victoria |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | Dankel Avenue, Kensington, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs D D Smith, 19 Edmond Street, Norwood, South Australia |
| Enlistment date | 17 December 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 19 April 1919 |
