| Regimental number | 2158 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Brunswick Junction, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, John Smith, 'Glen View', Brunswick Junction, Western Australia |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Military District 4 |
| AWM Embarkation Roll number | 13/31/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board TRANSPORT A7 Medic 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
