| Regimental number | 2762 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Carpenter |
| Address | Same as next of kin |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Emily Francis Clarke, Palsey Street, Woolwich, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 7th Field Company Engineers |
| AWM Embarkation Roll number | 14/26/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |