| Regimental number | 845 |
| Place of birth | Uralla New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | Royal Hotel, Bundarra |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mrs C F Clark, Royal Hotel, Bundarra |
| Enlistment date | 5 April 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A51 Chilka on 26 June 1915 |
| Date of embarkation incorrectly listed on Embarkation Roll as 7 June 1915. |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | 4th Machine Gun Squadron |
| Fate | Returned to Australia 24 July 1919 |
