
| Regimental number | 13646 |
| Place of birth | Somerset, England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Pinnacle, via Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs S J Smith, Lusby Hill Farm, Bruton, Somersetshire, England |
| Enlistment date | |
| Place of enlistment | Rockhampton, Queensland |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Deceased |
| Age at death from cemetery records | 36 |
| Place of burial | Bruton (St. Mary) Churchyard, Somerset, England |
| Panel number, Roll of Honour, Australian War Memorial | 183 |
| Miscellaneous information from cemetery records | Parents: John and Sarah SMITH, Lusty Hill, Bruton, Somerset, England |