| Regimental number | 295 |
| Place of birth | Sussex, England |
| Religion | Church of England |
| Occupation | Station bookkeeper |
| Address | Dynevor Downs, Queensland |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Jane Smith, 2 Weighton Road, Anerley, London, SE, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Toowoomba, Queensland |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 13, Reinforcement 3 |
| AWM Embarkation Roll number | 24/18/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
