| Regimental number | 4495 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cullen PO, Cullen, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, A J Smith, Cullen PO, Cullen, Victoria |
| Enlistment date | 5 August 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 23 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
