| Regimental number | 1892 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wilby, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs Elizabeth Clark, Tungamah, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/63/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |