| Regimental number | 5228 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Striker |
| Address | 705 Urquhart Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Smith, 705 Urquhart Street, Ballarat, Victoria |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 27 August 1917 |
