| Regimental number | 5995 |
| Place of birth | Bullyard Queensland |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Bullyard, Mt Perry Line, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs I Clarke, Bullyard, Mt Perry Line, Queensland |
| Enlistment date | 14 March 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 8 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 1 July 1919 |
