| Regimental number | 591 |
| Religion | Methodist |
| Occupation | Traveller |
| Address | Wahcumba Street, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Emma Clark, Wahcumba Street, South Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 13, Reinforcement 10 |
| AWM Embarkation Roll number | 24/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
