| Place of birth | Tumut New South Wales |
| Religion | Church of England |
| Occupation | Tramway employee |
| Address | 49 Holdsworth Street, Woollahra, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Gertrude Clark, 49 Holdsworth Street, Woollahra, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 30th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
