| Regimental number | 3054 |
| Place of birth | Camperdown, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Highton, Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs I N Clarke, 15 Coquette Street, West Geelong, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 25 August 1917 |
