| Regimental number | 977 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Florence Phillips Clarke, Meadow Crescent, Ryde, Sydney, New South Wales |
| Enlistment date | 5 October 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 4 Squadron, A Flight |
| AWM Embarkation Roll number | 8/7/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on 17 January 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |