| Regimental number | 1950 |
| Place of birth | Grenfell New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Dalkeith, Coolamon, New South Wales |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Deborah Clarke, 5 Seale Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | 30 March 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/50/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 18 January 1919 |
