| Regimental number | 3506 |
| Place of birth | St Arnaud, Victoria |
| Religion | Presbyterian |
| Occupation | Soldier |
| Address | Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs Grace Clark, 'Ararat', Alle Street, Brighton, Victoria |
| Previous military service | Corps of MS Clerks |
| Enlistment date | |
| Rank on enlistment | Regimental Quartermaster Sergeant |
| Unit name | 46th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/63/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Warrant Officer |
| Unit from Nominal Roll | 11th Infantry Brigade Headquarters |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
