| Regimental number | 2768 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Bank accountant |
| Address | Rose Park, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Susan Emma Clark, Swaine avenue, Rose Park, South Australia |
| Enlistment date | 1 July 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 1 November 1917 |
