| Regimental number | 25914 |
| Place of birth | Woodend, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 11 Gledhill Street, Footscray, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M E Clark, 11 Gledhill Street, Footscray, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 23rd Howitzer Brigade, 4th Reinforcement |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
