| Regimental number | 6723 |
| Place of birth | Morpeth New South Wales |
| Religion | Church of England |
| Occupation | School teacher |
| Address | 1 Walker Avenue, Haberfield, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs F M Clark, 1 Walker Avenue, Haberfield, Sydney, New South Wales |
| Enlistment date | 1 February 1916 |
| Date of enlistment from Nominal Roll | 9 January 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 4 June 1919 |