| Regimental number | 554 |
| Place of birth | Castlemaine, Victoria |
| Religion | Baptist |
| Occupation | Labourer |
| Address | 3 Percy Street, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mrs Louisa Clark, 3 Percy Street, Geelong, Victoria |
| Enlistment date | 16 April 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, C Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Regimental number from Nominal Roll | 4401 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 8th Field Company Engineers |
| Fate | Returned to Australia 5 April 1918 |
