| Regimental number | 16418 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J Smith, Cudgebogong, via Gulgong, New South Wales |
| Enlistment date | 24 March 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 19 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Effective abroad (still overseas) |
