| Regimental number | 4932 |
| Religion | Church of England |
| Occupation | Tinsmith |
| Address | 22 Devitt Place, Adelaide, South Australia |
| Marital status | Widower |
| Age at embarkation | 39 |
| Next of kin | Daughter, Miss E Clark, 22 Devitt Place, Adelaide, South Australia |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
