| Regimental number | 5130 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs J Smith, Lamington, Beaudesert, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs J Smith, Lamington, Beaudesert, Queensland |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Reinforcement 9 |
| AWM Embarkation Roll number | 13/31/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Mt Thompson Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
