| Regimental number | 2577 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Heyfield, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Jane Clark, Heyfield, Victoria |
| Enlistment date | 7 July 1917 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Regimental number from Nominal Roll | 2577A |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 3 July 1919 |
