| Regimental number | 5137 |
| Religion | Protestant |
| Occupation | Fitter |
| Address | 7 Hutt Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs D L Clark, 7 Hutt Street, Adelaide, South Australia |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Sergeant |
| Unit name | 3rd Field Company Engineers, Reinforcement 12 |
| AWM Embarkation Roll number | 14/22/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Mooltan on 11 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |