| Regimental number | 3052 |
| Place of birth | Gloucester England |
| Religion | Church of England |
| Occupation | Printer |
| Address | Peach Street, Herne Hill, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M A Clark, Herne Hill, Geelong, Victoria |
| Enlistment date | 10 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 27 July 1917 |
