| Regimental number | 955 |
| Place of birth | England |
| School | Rossall, England |
| Age on arrival in Australia | 26 |
| Religion | Church of England |
| Occupation | Medical student |
| Address | 116 Hampdon Road, Fremantle, Was |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Florence Lilian Clarke, 116 Hampdon Road, Fremantle, Was |
| Previous military service | Served in an officers' training corps in England |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Tropical Force, F Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Te Anau on 20 November 1915 |
| Other details from Roll of Honour Circular | Self inflicted wounds, laudanum poisoning |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Age at death | 36 |
