| Regimental number | 1034 |
| Place of birth | Mount Torrens, South Australia |
| Religion | Methodist |
| Occupation | labourer |
| Address | Mount Torrens, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Clark, same address |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, A Company |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Broken Hill Cemetery |