| Regimental number | 4688 |
| Religion | Presbyterian |
| Occupation | Cook |
| Address | Cecil Street, Albert Park, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Ellen Clarke, 14 Darling Street, Moonee Ponds, Melbourne, Victoria |
| Enlistment date | 26 January 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
