| Regimental number | 4391 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | 11 Parliament Street, Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Charlotte Clare, 20 Coomble Lane, Raynes Park, London, England |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Effective abroad (still overseas) |
