| Regimental number | 27816 |
| Place of birth | Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Blacksmith |
| Address | 5 Isaac Street, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J Clark, 5 Isaac Street, Brunswick, Victoria |
| Enlistment date | 15 April 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 10, Reinforcement 6 |
| AWM Embarkation Roll number | 13/37/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A30 Borda on 20 October 1916 |
| Rank from Nominal Roll | Shoeing Smith |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 12 April 1919 |