| Regimental number | 5039 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Neutral Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W G B Smith, 'Kareela', Wycombe Road, Neutral Bay, New South Wales |
| Enlistment date | 8 December 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board No 1 Hospital Ship Karoola on 18 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Effective abroad (still overseas) |
