| Regimental number | 5158 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Nil |
| Address | Shephard Street, Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, M Smith, Shephard Street, Goulburn, New South Wales |
| Enlistment date | 13 September 1915 |
| Date of enlistment from Nominal Roll | 14 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 20 June 1919 |
