| Date of birth | |
| Place of birth | Adelaide, South Australia |
| Religion | Unitarian |
| Occupation | Engineer |
| Address | Knightsbridge, South Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Euphemia Clark, Hill Top, Eden Hills, South Australia |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 5th Divisional Signal Company |
| Promotions |
2nd Lieutenant Unit: ENG Fld Coy Promotion date: |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
