| Regimental number | 13267 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Valet |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, G Clark, 106 Mountfield Road, Stamford Hill, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A63 Karoola on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Auxiliary Hospital |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death | |
| Place of burial | Coburg Cemetery |