| Regimental number | 5569 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 48 Alexander Street, Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Clarke, 48 Alexander Street, Manly, New South Wales |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Company Engineers, Reinforcement 14 |
| AWM Embarkation Roll number | 14/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 8 May 1919 |
