| Regimental number | 5420 |
| Place of birth | Guyra New South Wales |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Kingaroy, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J. Clark, Irving Springs, Kingaroy, Queensland |
| Enlistment date | 19 December 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
