
| Religion | Church of England |
| Occupation | Bank manager |
| Address | c/o R Adamson, Moe, Victoria |
| Marital status | Married |
| Next of kin | Wife, Mrs Ruby Clarke, c/o R Adamson, Moe, Victoria |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 8th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |