| Regimental number | 1999 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Nil |
| Address | 'Croydon' Ryrie Street, Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Myrtle B Clark, 1 Pleasant Street, Newtown, Geelong, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Acting Corporal |
| Unit name | 29th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
