| Regimental number | 521 |
| Religion | Church of England |
| Occupation | Baker |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, George Clark, South Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on |
| Miscellaneous details (Nominal Roll) | see other |