| Regimental number | 5368 |
| Religion | Church of England |
| Occupation | Teacher |
| Address | Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, A Clark, Lyttleton Street, Launceston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
