| Regimental number | 6747 |
| Place of birth | Essex England |
| Religion | Church of England |
| Occupation | Chief Steward |
| Address | Geraldton, Western Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Olive Jennie Clark, 20 York Road, Waltham Cross Herts, England |
| Enlistment date | 11 September 1916 |
| Date of enlistment from Nominal Roll | 14 August 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 19 October 1917 |
