| Regimental number | 4107 |
| Place of birth | Stratford, England |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 124 Jersey Road, Woollahra, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Annie Smith, 101 Stanley Road, Ilford, Essex, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
