
| Regimental number | 6719 |
| Place of birth | Edenhope, Victoria |
| Religion | Church of England |
| Occupation | Carrier |
| Address | Edenhope, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, Mr H Clark, Edenhope, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 72 |
| Place of burial | Edenhope Cemetery, Victoria |