| Regimental number | 21810 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Woolwich, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, W W Clarke, Alfred Street, Woolwich, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | S/SGT |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Boonah on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
