| Regimental number | 2369 |
| Place of birth | Birmingham, England |
| Religion | Church of England |
| Occupation | Sailor |
| Address | Roma, Queensland |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Friend, J R Smith, Klein Street, Toowoomba, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Toowoomba, Queensland |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 4 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |