| Place of birth | Leominster England |
| Religion | Church of England |
| Occupation | Farmer and grazier |
| Address | Mott Street, Rifle Range, Enoggera, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs D Smith, 'Cremorne', Mott Street, Rifle Range, Enoggera, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda 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
