| Regimental number | 6617 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 19 Hargreave Lane, Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Sarah Clark, 19 Hargreave Lane, Paddington, New South Wales |
| Enlistment date | 28 April 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Field Ambulance, Section A |
| Embarkation details | Unit embarked from |
| From Embarkation Rolls it is not possible to distinguish the embarkation details of individual officers and men: 6 officers and 156 others embarked on HMAT A11 'Ascanius' from Melbourne on 10 November 1915; 1 officer and 50 others embarked on HMAT A58 'Kabringa' from Melbourne on 8 November 1915; 1 officer and 16 others embarked on HMAT A2 'Geelong' from Adelaide on 12 November 1915; 1 officer and 4 others embarked on HMAT A13 'Katuna' from Adelaide on 9 November 1915; and |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 13 August 1918 |
| Date of death | 14 November 1951 |
| Place of burial | Botany Cemetery |
