| Regimental number | 1733 |
| Place of birth | Glenelg, Victoria |
| School | Meadows State School, South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o Mrs M A Clark, Piper Street, South Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M A Clark, Piper Street, South Broken Hill, New South Wales |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Died of wounds |
| Place of death or wounding | Pozieres, Somme Sector, France |
| Age at death | 30 |
| Place of burial | Daours Communal Cemetery Extension (Plot I, Row C, Grave No. 13), France |
| Panel number, Roll of Honour, Australian War Memorial | 58 |
| Miscellaneous information from cemetery records | Town. Adelaide, South Australia |