| Regimental number | 19825 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs K G Smith, 45 Bridge Street, Port Melbourne, Victoria |
| Enlistment date | 8 February 1918 |
| 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 2 November 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | sea TRANSPORT Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
