| Regimental number | 796 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Goomeri, Kingaroy, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, A Clarke, Goomeri, Kingaroy, NC Line, Queensland |
| Enlistment date | 26 May 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 13, Reinforcement 15 |
| AWM Embarkation Roll number | 24/18/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 22 September 1919 |
