| Regimental number | 25914 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 11 Gledhill Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M E Clark, 11 Gledhill Street, Footscray, Victoria |
| Enlistment date | 30 December 1915 |
| Rank on enlistment | Driver |
| Unit name | Howitzer Brigade 23, Reinforcement 4 |
| AWM Embarkation Roll number | 13/133/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
