| Regimental number | 2356 |
| Place of birth | Ballarat, Victoria |
| Religion | Methodist |
| Occupation | Maltster |
| Address | 143 Cremorne Street, South Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Rose Maud E Clark, 143 Cremorne Street, South Richmond, Melbourne, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 12 November 1916 |
