| Regimental number | 6642 |
| Religion | Methodist |
| Occupation | Driver |
| Address | Gatehouse Street, Parkville, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Smith, Copsham Hold, Beach Road, Mentone South, Victoria |
| Enlistment date | 12 April 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 19 April 1919 |
