| Regimental number | 7779 |
| Place of birth | Wollongong New South Wales |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | North Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, W Smith, Eaton Street, North Goulburn, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | First Australian General Hospital, Special Reinforcements |
| AWM Embarkation Roll number | 26.65.3RSSPEC |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
