| Regimental number | 1626 |
| Place of birth | Hull, England |
| Religion | Church of England |
| Occupation | Clerk |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Smith c/o Mrs Wittles, 16 Humberstone Gate, Leicester, England |
| Enlistment date | 19 October 1914 |
| Place of enlistment | Broadmeadows, Victoria |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/31/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
