| Regimental number | 1123 |
| Place of birth | Geraldton, Western Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, H Clark, 6 Chaucer Street, Berrigan, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/25/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
