| Regimental number | 3130 |
| Place of birth | Northcote Queensland |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Kingsborough via Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Katherine Clark, Kingsborough via Cairns, Queensland |
| Enlistment date | 14 October 1916 |
| Date of enlistment from Nominal Roll | 22 August 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion 8th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 20 November 1918 |