| Regimental number | 2861 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 278 Franklin Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs. Margaret Clarke, 278 Franklin Street, Adelaide, South Australia |
| Enlistment date | 18 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 20th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 27 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 12 July 1918 |