| Regimental number | 17591 |
| Place of birth | Stawell, Victoria |
| Religion | Presbyterian |
| Occupation | Engine driver and carpenter |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Minnie Clarke, Elliott Street, Clayfield, Queensland |
| Enlistment date | 9 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Engineers Details |
| Fate | Returned to Australia 12 March 1918 |
