| Regimental number | 1605 |
| Place of birth | Chatham England |
| Religion | Protestant |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs A Clark, 3 Southand York Place, Bournemouth, Hants, England |
| Enlistment date | 11 December 1914 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 2 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 13 December 1915 |