| Religion | Church of England |
| Occupation | Public servant |
| Address | 158 Carrington Road, Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs P W Smith, 158 Carrington Road, Waverley, New South Wales |
| Enlistment date | |
| Rank on enlistment | Major |
| Unit name | Australian Reserve Park 1, Company 10 |
| AWM Embarkation Roll number | 25/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale 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
