| Regimental number | 54040 |
| Place of birth | Wellington New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S M Smith, Montefiore Street, Wellington, New South Wales |
| Enlistment date | 24 April 1918 |
| Date of enlistment from Nominal Roll | 25 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 21 July 1919 |
