| Religion | Church of England |
| Occupation | Farrier |
| Address | York, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Esther Clark, York, Western Australia |
| Enlistment date | 3 April 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A68 Anchises on 2 September 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
