| Regimental number | 1615 |
| Place of birth | Howlong New South Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 69 Raleigh Street, Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Annie Smith, Howlong, New South Wales |
| Enlistment date | 26 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/13/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 12 July 1918 |
