| Regimental number | 3410 |
| Place of birth | Mudgee New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Maryvale via Wellington, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Ada Ellen Clarke, 22 Wellington Street, Waterloo, New South Wales |
| Enlistment date | 28 February 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 28 December 1917 |
