| Regimental number | 1965 |
| Religion | Church of England |
| Occupation | Ship's steward |
| Address | 156 Enmore Road, Enmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Alice Smith, 156 Enmore Road, Enmore, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A58 Kabinga on |