| Regimental number | 2804 |
| Place of birth | Brunswick Victoria |
| Religion | Methodist |
| Occupation | Potter |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Robert Smith, 71 Luscombe Street, East Brunswick, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
