| Regimental number | 7039 |
| Place of birth | Bendigo Victoria |
| Religion | Presbyterian |
| Occupation | Farm labourer |
| Address | Newry, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Uncle, E E Clark, 7 Ward Street, South Melbourne, Victoria |
| Enlistment date | 18 October 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 10 January 1918 |
