| Regimental number | 13933 |
| Place of birth | Langwarrin, Victoria |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Langwarrin, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Fanny Clark, Langwarrin, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Company 300, Reinforcement December 1916 |
| AWM Embarkation Roll number | 25/99/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Rank from Nominal Roll | MT DVR |
| Unit from Nominal Roll | 4th Motor Transport Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
