| Regimental number | 4914 |
| Place of birth | Haggaston, England |
| Religion | Church of England |
| Occupation | Sailor |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mr C Smith, 114 Hertford Road, Dalston, England |
| Enlistment date | 7 December 1914 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Regimental number from Nominal Roll | 1640 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 13 February 1917 |
