| Regimental number | 6668 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Glass worker |
| Address | Surry Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A E Clark, 461 Riley Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Killed in Action |
| Place of burial | Bellicourt British Cemetery (Plot V, Row N, Grave 4), France |
| Panel number, Roll of Honour, Australian War Memorial | 84 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
