| Regimental number | 3488 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Slater |
| Address | Derwent, Wellington Street, Bondi, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs J Clark, Derwent, Wellington Street, Bondi, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 24 June 1916 |
