| Regimental number | 4477 |
| Place of birth | Milton Haven Wales |
| Religion | Church of England |
| Occupation | Drover |
| Address | c/o Mrs Clarke, Rangerview, Norfolk Road, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Friend, Miss F M Clarke, Rangerview, Norfolk Road, South Brisbane, Queensland |
| Enlistment date | 14 December 1914 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 6 |
| AWM Embarkation Roll number | 13/31/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on 2 June 1915 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 15 April 1918 |
