| Regimental number | 13017 |
| Place of birth | Gladstone, South Australia |
| Religion | Church of England |
| Occupation | Motor driver and mechanic |
| Address | Cambridge Terrace, Malvern, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs S E Clark, 'Natai', Swaine Avenue, Rose Park, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Auxiliary Mechanical Transport Company 1, Section 1 |
| AWM Embarkation Roll number | 25/113/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd ADMTC |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
