| Regimental number | 921 |
| Religion | Church of England |
| Occupation | Wool scourer |
| Address | 15O Abbotsford Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | John Clarke, 15O Abbotsford Street, North Melbourne, Victoria |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, H Company |
| AWM Embarkation Roll number | 23/23/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 19 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
