| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Clerk, Ordnance Department |
| Address | 1 Foster Street, St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E M V Clark, Croydon, Victoria |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 29th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
