
| Religion | Church of England |
| Occupation | Nurse |
| Address | Beaudesert, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, S Smith, Beaudesert, Queensland |
| Enlistment date | |
| Rank on enlistment | Staff Nurse |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |