| Regimental number | 203 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Thornton, Laidley Creek, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Henry Clark, Head teacher, State school, Silverspur, Queensland |
| Enlistment date | 12 October 1914 |
| Rank on enlistment | SIG |
| Unit name | 5th Light Horse Regiment, Headquarters |
| AWM Embarkation Roll number | 10/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board TRANSPORT A34 Persic on 21 December 1914 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board TRANSPORT A44 Vestalia on 19 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
