| Regimental number | 3621 |
| Place of birth | Winslow England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Stanley Hotel, Kilcoy, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Louisa Clarke, Grandborough Winslow, Bucks, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Queensland Garden of Remembrance |
| Date of death |