| Regimental number | 39 |
| Place of birth | Braidwood New South Wales |
| Religion | Church of England |
| Occupation | Fitter's assistant |
| Address | Erskineville, New South Wales |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Harriet Clark, 31 Binning Street, Erskineville, New South Wales |
| Enlistment date | 29 December 1916 |
| Date of enlistment from Nominal Roll | 29 September 1915 |
| Rank on enlistment | Private |
| Unit name | Section 1 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st AROD |
| Fate | Returned to Australia 11 May 1919 |
