| Regimental number | 21136 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Shunter |
| Address | Dalby, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E Fitzpatrick, Walton Street, Toowoomba, Queensland |
| Enlistment date | 6 October 1915 |
| Date of enlistment from Nominal Roll | 5 October 1915 |
| Rank on enlistment | Shoeing Smith |
| Unit name | 9th Field Artillery Brigade, 35th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board H.M.A.T. A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Shoeing Smith |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Effective abroad (still overseas) |
