| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Clare, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Dr O Wien-Smith, Clare, South Australia |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |