| Regimental number | 40074 |
| Date of birth | |
| Place of birth | Brighton, England |
| Religion | Church of England |
| Occupation | Painter |
| Marital status | Married |
| Age at embarkation | 43.10 |
| Height | 5' 6.75" |
| Weight | 141 lbs |
| Next of kin | Wife, Mrs A Smith, 60 McKelvie Street, Grey Lynn, Auckland |
| Previous military service | Served in the Royal Enginners and in South Africa; previously rejected for enlistment on account of teeth. |
| Enlistment date | |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, F Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on board HMNZT Corinthic on |
| Discharge date | |
| Other details |
War service: England Commenced return to New Zealand from Avonmouth on board SS 'Marama', 14 July 1917 (phthisical case); discharged (no longer physically fit for war service on account of illness contracted on active service), 8 October 1917. War service: 300 days (of which 143 days were abroad) Medal: British War Medal |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 21 |