| Regimental number | 4834 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Kapunda House, 1028 Hay Street, West Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Aunt, Harriet Clarke, Kapunda House, 1028 Hay Street, West Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | 1st Australian General Hospital, Special Reinforcements (Hospital and Convalescent Home) |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia |
| Date of death | |
| Age at death | 34 |
| Place of burial | AIF Cemetery, West Terrace, Adelaide, South Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
