| 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 | 23 September 1918 |
| 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 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
