| Regimental number | 4392 |
| Place of birth | Richmond, Victoria |
| Religion | Church of England |
| Occupation | Packer |
| Address | 13 Earle Street, Windsor, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs C Clarke, 13 Earle Street, Windsor, Melbourne, Victoria |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 4 May 1917 |
