| Regimental number | 3900 |
| Place of birth | Fitzroy Victoria |
| Religion | Roman Catholic |
| Occupation | Independent means |
| Address | 158 Victoria Street, North Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs W H Smith, 158 Victoria Street, North Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 4, Field Ambulance 5, Reinforcement 1 |
| AWM Embarkation Roll number | 26/48/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
