| Regimental number | 5922 |
| Religion | Church of England |
| Occupation | Shotmaker |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Isabella Smith, 266 William Street, Perth, Western Australia |
| Enlistment date | 24 August 1916 |
| Date of enlistment from Nominal Roll | 17 May 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 13 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 25 August 1917 |
