| Regimental number | 5999 |
| Place of birth | Paterson New South Wales |
| Religion | Church of England |
| Occupation | Undertaker |
| Address | St James Road, Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs W E Clarke, St James Road, Waverley, New South Wales |
| Enlistment date | 6 March 1916 |
| Date of enlistment from Nominal Roll | 4 March 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 4 May 1917 |