| Regimental number | 3328 |
| Place of birth | Uralla New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Uralla, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs A. Clark, Dangars Lagoon, Uralla, New South Wales |
| Enlistment date | 12 March 1917 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 27th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 27 June 1919 |