| Regimental number | 15557 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Student |
| Address | Lockleys, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Harriett Clark, Elston Street, Lockleys, South Australia |
| Previous military service | 28th Signal Company Army Engineers |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 5, Reinforcement 6 |
| AWM Embarkation Roll number | 22/15/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A16 Port Melbourne on 23 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 26 February 1919 |
