| Date of birth | |
| Place of birth | Jika Jika Victoria |
| Other Names | Henry Clarke |
| Religion | Church of England |
| Occupation | Mounted constable |
| Address | Henderson Street, Camperdown, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Clara Cummins, Henderson Street, Camperdown, Victoria |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 3rd Pioneer Battalion, A Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Army Provost Corps |
| Promotions |
Captain Unit: Provost Corps Promotion date: |
| Fate | Effective abroad (still overseas) |