| Regimental number | 804 |
| Place of birth | Steiglitz Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mrs E McSmith, North Steiglitz, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mrs E McSmith, North Steiglitz, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, G Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on |
| Regimental number from Nominal Roll | 33 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
