| Regimental number | 57763 |
| Place of birth | Southport, England |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Surat, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs S Smith, 'Tekran', Clifton Road, Darlington, Durham, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Enoggera, Queensland |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Miscellaneous details (Nominal Roll) | No details of fate entered on Nominal Roll. |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
