| Regimental number | 9984 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | New Parkside, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E A Smith, 23 Douglas Street, New Parkside, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Australian Stationary Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Died of wounds |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
