| Regimental number | 1578 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Stenographer |
| Address | Westmore, "Waiwera", John Street, Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, James Clark, Westmore, 'Waiwera', John Street, Ashfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/12/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
