| Regimental number | 14776 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Boot finisher |
| Address | 'Minnesville', Georgina Street, Sandringham, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, George Clarke, Georgina Street, Sandringham, Victoria |
| Previous military service | 46th Infantry |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 3, Reinforcement 2 |
| AWM Embarkation Roll number | 22/13/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 12 May 1919 |
