| Regimental number | 6074 |
| Place of birth | Brunswick Victoria |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | 29 Overend Street, East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Smith, 29 Overend Street, East Brunswick, Victoria |
| Enlistment date | 10 April 1916 |
| Date of enlistment from Nominal Roll | --/10/1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 11 May 1919 |
