| Regimental number | 5365 |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Cranmore Park, Walebing, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr A W Clarke, Kent Cottage 16 Alexander Road, West Ealing Middlesex, England |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |