| Regimental number | 8058 |
| Place of birth | Durham, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | West Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs L Smith, 18 Fitzgerald Street, West Perth, Western Australia |
| Enlistment date | 4 March 1917 |
| Place of enlistment | Perth, Western Australia |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 27th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 5 September 1919 |
