| Regimental number | 5216 |
| Place of birth | Sutherland New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cronulla Beach, via Sutherland, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Mr P Smith, East Parade, Sutherland, New South Wales |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 17 March 1917 |
