| Regimental number | 12241 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Electric wireman |
| Address | East Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, S. Clark, 132 Powlett Street, East Melbourne, Victoria |
| Enlistment date | 17 April 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Supply Column 3, Mechanical Transport Reinforcement 1 |
| AWM Embarkation Roll number | 25/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Motor Transport Company |
| Fate | Returned to Australia 4 July 1919 |
