| Regimental number | 4291 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Lucy Clark, 37 Highcliffe Road, Undercliffe, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
