| Regimental number | 91 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Harriet Clark, Post Office Chinchilla, Chinchilla, Queensland |
| Enlistment date | 22 December 1915 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, Machine Gun Section |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 3 July 1919 |
