| Regimental number | 2604 |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Francis Clarke, 11 Crown Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Moldavia on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |