| Regimental number | 257 |
| Place of birth | Brunswick, Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Sarah H Blackburn, 43 Walsh Street, West Melbourne, Victoria |
| Enlistment date | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 31 January 1918 |
| Miscellaneous details (Nominal Roll) | *Given name Clive Reginald |
