| Regimental number | 1395 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Stockman |
| Address | 147 Upton Lane, Forest Gate, London, England |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs F Smith, 147 Upton Lane, Forest Gate, London, England |
| Enlistment date | |
| Place of enlistment | Liverpool, England |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, D Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
