| Regimental number | 3430 |
| Place of birth | Brunswick Victoria |
| Religion | Presbyterian |
| Occupation | Joiner and masseur |
| Address | West Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs S Smith, 572 Newcastle Street, West Perth, Western Australia |
| Enlistment date | 31 October 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 8 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on 23 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
