| Regimental number | 6786 |
| Place of birth | Ararat Victoria |
| Religion | Church of England |
| Occupation | Road overseer |
| Address | Wynyard, Tasmania |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs V M Smith, Yolla, Tasmania |
| Enlistment date | 10 July 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 31 October 1917 |
