| Regimental number | 710 |
| Place of birth | Goolwa, South Australia |
| Religion | Church of England |
| Occupation | Land agent |
| Address | c/o 104 Devonshire Quilt Street, North Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs. Amelia Lucy May Clark, William Street, Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A52 Surada on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th DAU |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Devonport Public Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
