| Regimental number | 5982 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Brim PO, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs C M Clarke, PO., Brim, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |