| Regimental number | 1403 |
| Place of birth | Townsville Queensland |
| Religion | Presbyterian |
| Occupation | Harnessmaker |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Anne Clark, Glenelg, Harbor Street, Mosman, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |