| Regimental number | 4042 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | c/o T Kely, Station Street, Seymour, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Bessie Clarke, c/o T Kelly, Station Street, Seymour, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |