| Regimental number | 497 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 68 Gertrude Street, Fitzroy |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs M Clarke, 68 Gertrude Street, Fitzroy |
| Enlistment date | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, B Company |
| AWM Embarkation Roll number | 23/46/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | acorps Goh |
| Fate | Returned to Australia 25 March 1919 |
| Miscellaneous details (Nominal Roll) | *Noted CLARK Milbourne Burgess NR |
