| Regimental number | 19349 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Jamestown, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Clark, Jamestown, South Australia |
| Enlistment date | 14 April 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 2 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia 1 January 1919 |
