| Regimental number | 3781 |
| Place of birth | Devonport, Tasmania |
| Religion | Church of England |
| Occupation | Tinsmith |
| Address | 70 Cannington Street, Adelaide, South Australia |
| Marital status | Widower |
| Age at embarkation | 39 |
| Next of kin | Father, Miss Eileen Clarke, c/o Mrs Alice Mary Chandler, 22 Devitt Place, Adelaide, South Australia |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 7 February 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
