
| Regimental number | 4679 |
| Religion | Presbyterian |
| Occupation | Photographer |
| Address | 56 Hudson Street, Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs M Clark, 56 Hudson Street, Coburg, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |