| Regimental number | 2/1719A |
| Address | Bright Street, Cobden, Greymouth |
| Marital status | Single |
| Next of kin | Father, C Smith, Bright Street, Cobden, Greymouth |
| Rank on embarkation | Gunner |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Artillery/Third |