| Regimental number | 5514 |
| Place of birth | Newcastle New South Wales |
| Religion | Congregational |
| Occupation | Butcher |
| Address | Kurri Kurri, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs M A Clack, Hopetoun Street, Kurri Kurri, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, October 1916, Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Tunnelling Companies |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |