| Regimental number | 2212 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | c/o L Johnston, Mount Pleasant Road, Gympie, Qald |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Elizabeth Smith, 42 Hannon Street, Kalgoorlie, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/10/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
