| Regimental number | 6396 |
| Religion | Church of England |
| Occupation | Stable hand |
| Address | Nicholas Street, Lilydale, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs R L Clarke, Nicholas Street, Lilydale, Victoria |
| Enlistment date | 29 August 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
