| Regimental number | 2468 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | 236 Bathurst Street, Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Violet Clark, 236 Bathurst Street, Hobart, Tasmania |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/43/2 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT Ballarat on 9 September 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
