| Regimental number | 3434 |
| Place of birth | Ipswich Queensland |
| Religion | Congregational |
| Occupation | Stockman |
| Address | C/o Mrs. E. Smith, Rosewood, Queensland |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs. E. Smith, Rosewood, Ipswich Line, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
