| Place of birth | Singleton New South Wales |
| Religion | Roman Catholic |
| Occupation | Dentist |
| Address | Bondi, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs K M Smith, Balham Flats, Jaques Avenue, Bondi, New South Wales |
| Previous military service | Australian Army Medical Corps Res |
| Enlistment date | 8 August 1918 |
| Rank on enlistment | Lieutenant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
