| Regimental number | 489 |
| Place of birth | London England |
| Occupation | Labourer |
| Address | Netherfield Cottage, O'Brien Street, Bondi, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs S Clark, 29 Pembroke Road, Kensington, London, England |
| Enlistment date | 12 September 1914 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, E Company |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 7 November 1915 |
