| Regimental number | 1037 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hazelfarm Book Book, Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mary Ann Smith, Hazelfarm Book Book, Wagga Wagga, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, A Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Army Provost Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
