| Regimental number | 3621 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Canadian Lead, via Mudgee, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Mary Sarah Ann Smith, Canadian Lead, via Mudgee, New South Wales |
| Enlistment date | 13 April 1917 |
| Date of enlistment from Nominal Roll | 12 March 1917 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 32nd Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 2 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 29 April 1919 |
| Miscellaneous details (Nominal Roll) | *Given name Clive William |
