| Regimental number | 504 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Farrier |
| Address | c/o Mrs M Green, Waratah, Tasmania |
| Marital status | Widower |
| Age at embarkation | 40 |
| Next of kin | Mother-in-Law, Mrs M Green, Waratah, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private Shoeing Smith |
| Unit name | 11th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/16/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on |
| Regimental number from Nominal Roll | R504 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 13th Light Horse Regiment |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
