| Regimental number | 19500 |
| Place of birth | Yass New South Wales |
| Religion | Methodist |
| Occupation | Dentist |
| Address | Leichhardt, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs M Smith, 24 Marlborough Street, Leichhardt, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Sea Transport Staff Sections 7-8 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
