| Regimental number | 63255 |
| Place of birth | Perth, Western Australia |
| Religion | Methodist |
| Occupation | Horse driver |
| Address | New Norfolk, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J A Clark, Charlotte Street, New Norfolk, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Tasmanian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Train |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
