| Regimental number | 3798 |
| Place of birth | Hawksburn, Victoria |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Canterbury, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Adele Clarke, 'Stoneycroft', Wonga Street, Canterbury, New South Wales |
| Enlistment date | 8 December 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
