| Regimental number | 20526 |
| Place of birth | Port Broughton South Australia |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Port Broughton, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs M E Wark, Port Broughton, South Australia |
| Enlistment date | 5 December 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 25 September 1919 |
