| Regimental number | 3883 |
| Place of birth | Warwick Queensland |
| Religion | Church of England |
| Occupation | Farrier |
| Address | Camberwell, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Catherine Clarke, 13 Bellet Street, Camberwell, Victoria |
| Enlistment date | 16 July 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | AVCDtls |
| Fate | Returned to Australia 1 July 1919 |
