| Regimental number | 382 |
| Place of birth | South Africa |
| Religion | Church of England |
| Occupation | Earthwork contractor |
| Address | Box 27, Jeppestown, Transvaal, South Africa |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Elizabeth Clarence, Box 27 Jeppestown, Transvaal, South Africa |
| Enlistment date | 27/17/1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, D Company |
| AWM Embarkation Roll number | 23/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A23 Suffolk on 18 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
