| Regimental number | 167 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Chemist |
| Address | 'Woodstock', Torrens Road, Port Elliott, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs J Smith, 'Woodstock', Torrens Road, Port Elliott, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A7 Medic on |
| Regimental number from Nominal Roll | 89 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
