| Regimental number | 4610 |
| Place of birth | England |
| Religion | Church of England |
| Occupation | Baker |
| Address | Blayney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs M Smith, Woodfarm, Whittington, Handover Ford, Gloucestershire, England |
| Enlistment date | |
| Place of enlistment | Casula, New South Wales |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla 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
