| Regimental number | 490 |
| Place of birth | Grenfell New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Mr Smith, Quandong, Junee, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/12/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A31 Ajana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Chas spelt Charles |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
