| Regimental number | 4154 |
| Place of birth | Melbourne, Victoria |
| Religion | Salvation Army |
| Occupation | Tinsmith |
| Address | 76 Kerr Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs E Clark, 76 Kerr Street, Fitzroy, Victoria |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 27 August 1917 |
