| Religion | Church of England |
| Occupation | Electrical engineer |
| Address | Murray Park, Murray Bridge, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs B Smith, Murray Park, Murray Bridge, South Australia |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa 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
