| Regimental number | 10504 |
| Place of birth | Mooroopna, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mooroopna, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Clarke, Elizabeth Street, Mooroopna, Victoria |
| Enlistment date | 20 July 1915 |
| Date of enlistment from Nominal Roll | 30 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 13 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 12 May 1919 |
