| Regimental number | 5055 |
| Place of birth | Wentworth New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Green Street, Brompton, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M E Smith, Green Street, Brompton, South Australia |
| Enlistment date | 3 December 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Effective abroad (still overseas) |
