| Regimental number | 192 |
| Religion | Church of England |
| Occupation | Police |
| Address | 42 Wilton Road, Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Mrs M Smith, 42 Wilton Road, Surry Hills, New South Wales |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | 12th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/17/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic 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
