| Regimental number | 5189 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 106 Murray Street, Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs A Smith, 106 Murray Street, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes 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
