| Date of birth | |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | 46 Esplanade, Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Charles Smith, H0 Commercial Banking Coy of Sydney Ltd, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | 17th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Major Unit: No 10 Field Ambulance Promotion date: |
| Fate | nig |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
