| Regimental number | 3614 |
| Religion | Church of England |
| Occupation | Canvasser |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs E R Clark, Bagdad, Tasmania |
| Enlistment date | 11 January 1917 |
| Date of enlistment from Nominal Roll | "/8/14" |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 16 June 1919 |
