| Regimental number | 113 |
| Place of birth | Derby England |
| Religion | Church of England |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, G W Clarke, Turbutt Arms Hotel, Stretton, near Alfreton, England |
| Enlistment date | 21 August 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A7 Medic on 20 October 1914 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 23 October 1918 |
