| Regimental number | 5771 |
| Place of birth | Brighton England |
| Religion | Church of England |
| Occupation | Furniture salesman |
| Address | Mitchell Street, Putney, Ryde, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs C Smith, Mitchell Street, Putney, Ryde, New South Wales |
| Enlistment date | 7 January 1916 |
| Date of enlistment from Nominal Roll | 16 December 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 11 December 1918 |
