| Regimental number | 5538 |
| Place of birth | Angaston, South Australia |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Clendon Road, Toorak, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Louie Clark, Clendon Road, Toorak, Melbourne, Victoria |
| Enlistment date | 11 January 1915 |
| Rank on enlistment | Driver |
| Unit name | 8th Company, Army Service Corps (17th Divisional Ammunition Park ) 301st Company (MT), 2nd & 3rd Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 12 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
