| Regimental number | 3625 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Mill hand |
| Address | Worrall Creek, Nambucca River, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, J H Smith, Worrall Creek, Nambucca River, New South Wales |
| Enlistment date | 10 November 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 12 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 13 February 1917 |
