| Regimental number | 4763 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Narre Warren North, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Step-Father, H Smith, Narre Warren North, Victoria |
| Enlistment date | 28 September 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 13 April 1919 |
