| Regimental number | 56055 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs M J Clark, 68 Hutt Street, Adelaide, South Australia |
| Enlistment date | 12 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1 to 6 (SA) Reinforcements (May-Oct 1918) |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A74 Marathon on 23 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Effective abroad (still overseas) |
