| Regimental number | 4871 |
| Place of birth | Talbot Victoria |
| Religion | Church of England |
| Occupation | Draftsman |
| Address | Eagle Junction, Queensland |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs. Elizabeth Gertrude Smith, McGregor Street, Eagle Junction, Queensland |
| Enlistment date | 22 December 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 5 March 1919 |
