| Regimental number | 4280 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Tinsmith |
| Address | 23 Mason Street, Camperdown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs A Smith, 23 Mason Street, Camperdown, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
