| Regimental number | 2829 |
| Place of birth | Melbourne, Victoria |
| Religion | Methodist |
| Occupation | Plasterer |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs N Clark, Raleigh Street, Northcote, Victoria |
| Enlistment date | 7 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/25/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Makarini on 15 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 30 August 1916 |
