| Regimental number | 5068 |
| Place of birth | Mount Ijup, Victoria |
| Religion | Church of England |
| Occupation | Pipe repairer |
| Address | Seventh Street, Mildura, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs R A Clark, Seventh Street, Mildura, Victoria |
| Enlistment date | 12 January 1916 |
| Date of enlistment from Nominal Roll | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 10 July 1916 |
