| Regimental number | 5996 |
| Place of birth | Westbury, Tasmania |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 8 Manallack Street, Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs A Clarke, 8 Manallack Street, Brunswick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
