| Regimental number | 2275 |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | Atherton Road, Oakleigh, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Amy Smith, Brisbane Street, Dubbo, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Miscellaneous details (Nominal Roll) | crossed out on n.r. |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
