| Regimental number | 1523 |
| Place of birth | Bathurst New South Wales |
| Religion | Methodist |
| Occupation | Soldier |
| Address | Bathurst South, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, T Smith, Queen Street, Bathurst, New South Wales |
| Previous military service | Royal Australian Garrison Artillery |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Heavy Artillery Group 36, Reinforcement 21 |
| AWM Embarkation Roll number | 13/49/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
