| Regimental number | 26632 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 110 Separation Street, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs M M Clarke, 36 Taplin Street, North Fitzroy, Victoria |
| Enlistment date | 11 December 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 2, Reinforcement 19 |
| AWM Embarkation Roll number | 13/30/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |