| Regimental number | 5790 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Insurance inspector |
| Address | Dover, Roscoe Street, Bondi, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E G Clarke, Dover, Roscoe Street, Bondi, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | S.T25.98.2R5 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
