| Regimental number | 16330 |
| Place of birth | Ballarat, Victoria |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W H Clarke, 204 Leith Street, Ballarat, Victoria |
| Enlistment date | 1 November 1916 |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Hospital Ship No 2 Kanowna on 18 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
