| Regimental number | 2356 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Pier Hotel, Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, W Clark, Eden Terrace, Auckland, New Zealand |
| Enlistment date | 10 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Company Engineers, Reinforcement 11 |
| AWM Embarkation Roll number | 14/22/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |