| Regimental number | 2125 |
| Place of birth | Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Blacksmith |
| Address | South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | ..., Mrs Ada Amelia Clark, 22 Margaret Street, South Yarra Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 5th Battalion |
| Medals |
Distinguished Conduct Medal 'For conspicuous gallantry in action. He brought his machine guns into action at a most critical moment, and directed the fire of his section in a most able manner.'f
Source: 'Commonwealth Gazette' No. 169 Date: |