| Regimental number | 1404 |
| School | State School, Victoria |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Isaac Clarke, Farmer, Arcadia, Victoria |
| Previous military service | Victoria Mounted Rifles |
| Enlistment date | 17 November 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Age at death | 27 |