| Regimental number | 1236 |
| Place of birth | Colombo Ceylon |
| Religion | Church of England |
| Occupation | Rubber planter |
| Address | Esplanade Hotel, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Miss Doris Merle Clarke, Homestead, Christian Malford, Chippenham, Wiltshire, England |
| Enlistment date | 8 April 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 1 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
