| Regimental number | 4517 |
| Place of birth | Melbourne, Victoria |
| Religion | Congregational |
| Occupation | Warehouseman |
| Address | 5 Colvin Grove, Hawthorn, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Winifred E Clark, 5 Colvin Grove, Hawthorn, Victoria |
| Enlistment date | 7 September 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Regimental Quartermaster Sergaent |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 7 July 1919 |
