| Regimental number | 2698 |
| Place of birth | Ballarat, Victoria |
| Religion | Methodist |
| Occupation | Stockman |
| Address | 4 Cowan Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Bessie Clark, 4 Cowan Street, Ballarat, Victoria |
| Enlistment date | 14 December 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 9 March 1919 |
