| Regimental number | 4679 |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Sailors Home, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs. M. Clarke, 26 Henderson Place, Cranmere, Liverpool, England |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |