| Regimental number | 8058 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Pennant Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, F W Clarke, 'Bushloe', Werona Street, Pennant Hills, New South Wales |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Miscellaneous details (Nominal Roll) | see other |
