| Regimental number | 18861 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Butler |
| Address | Roma, Queensland |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs M C Clarke, Isaac Street, Spring Hill, Brisbane, Queensland |
| Enlistment date | 8 June 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 31 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Field Ambulance |
| Fate | Returned to Australia 15 November 1918 |
| Other details | Medals: British War Medal, Victory Medal |
