| Regimental number | 1540 |
| Place of birth | Burton-Upon-Trent England |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Staggy Creek, Inverell, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs R Clarke, Staggy Creek, Inverell, New South Wales |
| Enlistment date | 29 February 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/50/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 30 January 1918 |
