| Regimental number | 5443 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Post Office, Mulwalla, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Uncle, J Smith, Mildura, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Ceramic 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
