| Regimental number | 1177 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Engine fitter |
| Address | 48 South Terrace, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs Charlotte Smith, 48 South Terrace, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | Stationary Hospital 1 |
| AWM Embarkation Roll number | 26/70/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Warrant Officer (Class I) |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
