| Regimental number | 58776 |
| Place of birth | Casino New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Kyogle, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, C Clark, 'Howleigh', Kyogle, Richmond River, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Kyogle Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
