| Regimental number | 4768 |
| Place of birth | England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Co Mr Brunnell, Myall, Rowena, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A Clarke, 120 High Street, Alsoyirs, Bank, Newcastle, Staffordshire, England |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 10 December 1918 |
