| Regimental number | 58776 |
| Place of birth | Casino New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Kyogle, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, C Clark, 'Howleigh', Kyogle, Richmond River, New South Wales |
| Enlistment date | 18 April 1918 |
| Date of enlistment from Nominal Roll | 3 May 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 1 April 1919 |
| Date of death | 22 April 1971 |
| Place of burial | Kyogle Cemetery |
