| Regimental number | 1177 |
| Place of birth | Burnley, England |
| Religion | Roman Catholic |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, John Smith, 8 Cross Street, Burnley, Lancashire, England |
| Enlistment date | |
| Place of enlistment | Morphettville, South Australia |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
