| Regimental number | 6235 |
| Place of birth | Horsham, Victoria |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Lower Norton, via Horsham, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs L L Clark, Lower Norton, via Horsham, Victoria |
| Enlistment date | 14 April 1916 |
| Place of enlistment | Horsham, Victoria |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
