| Religion | Church of England |
| Occupation | Military officer |
| Address | Victoria Barracks, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs N Smith, c/o Major J S Kerbon,Victoria Barracks, Melbourne, Victoria |
| Previous military service | A and I Staff |
| Enlistment date | |
| Rank on enlistment | Major |
| Unit name | 10th Infantry Brigade Headquarters |
| AWM Embarkation Roll number | 23/10/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A11 Ascanius 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
