| Regimental number | 15569 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Abbotsford, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs C A Clarke, 56 Hoddle Street, Abbotsford, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 20 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia 23 March 1919 |
