| Regimental number | 3037 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Plasterer |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | A. Smith, Victoria Road, Mitcham, South Australia |
| Enlistment date | 18 December 1915 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |