| Regimental number | 22 |
| Place of birth | Sydney, New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Alice Street, Sans Souci, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs C L Smith, Alice Street, Sans Souci, New South Wales |
| Enlistment date | |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force (Tropical Unit), Australian Medical Corps |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
