| Regimental number | 1041 |
| Place of birth | Kiata, Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Kiata, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Clark, P O Kiata, Kiata, Victoria |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Driver |
| Unit name | Field Ambulance 4, Section B |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 24 September 1918 |
