| Regimental number | 1428 |
| Place of birth | Herefordshire, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Elizabeth Smith, 111 Chapel Street, New Tradegar, Mon, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Warwick Farm, New South Wales |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
