| Regimental number | 6718 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Farm 753, Leeton, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs J Clark, Farm 753, Leeton, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |