| Regimental number | 2780 |
| Place of birth | Woolwich England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 'Langi', King Street, Randwick, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, C Clark, 25 Sand Street, Woolwich, London, England |
| Enlistment date | 20 August 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 31 May 1919 |
