| Regimental number | 622 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | Catherine Hill Bay via Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Johanna M Clark, Catherine Hill Bay via Newcastle, New South Wales |
| Enlistment date | 29 August 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, F Company |
| AWM Embarkation Roll number | 23/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A23 Suffolk on 18 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous details | Also embarked INF2REIN16 |