| Regimental number | 12900 |
| Place of birth | Casterton Victoria |
| Religion | Presbyterian |
| Occupation | Baker |
| Address | Carapook via Casterton, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs D Stark, Carapook via Casterton, Victoria |
| Enlistment date | 19 June 1916 |
| Date of enlistment from Nominal Roll | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | Army Service Corps Reinforcement 22 |
| AWM Embarkation Roll number | 25/105/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on 17 November 1916 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 12 May 1918 |
