| Regimental number | 623A |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Assistant ironmoulder |
| Address | 1 Adelaide Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Charles Clarke, 1 Adelaide Street, Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 1 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Regimental number from Nominal Roll | 623 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |