| Regimental number | 6728 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Steward |
| Address | Hera, Waterloo, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs C Clark, 69 Brabazon Street, Poplar, London, E, England |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Regimental number from Nominal Roll | 6723 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia |
