| Regimental number | 1803 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 137 Reservoir Street, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Miss Jessie Clark, 137 Reservoir Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 30 March 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |