| Regimental number | 213 |
| Place of birth | Cambridge, England |
| Religion | Church of England |
| Occupation | Secretary |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mrs Joseph Smith, Weir House, E Hannay, Wantage, Berks, England |
| Enlistment date | |
| Place of enlistment | Guildford, Western Australia |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 10th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/15/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A47 Mashobra on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
