| Regimental number | 4773 |
| Place of birth | Boulder, Western Australia |
| Religion | Wesleyan |
| Occupation | Miner |
| Address | Deacon Street, Kurri Kurri, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Lillias Smith, Deacon Street, Kurri Kurri, New South Wales |
| Enlistment date | 10 October 1917 |
| Date of enlistment from Nominal Roll | 8 October 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battaltion |
| Fate | Returned to Australia 13 July 1919 |