| Regimental number | 1017 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | ..., Mrs F E Smith, 99 Beulah Road, Norwood, South Australia |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, F Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Troopship A40 Ceramic on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 19 January 1916 |
