| Regimental number | 2712 |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, M Smith, Gympie, Queensland |
| Enlistment date | 3 July 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 1 May 1919 |
