| Regimental number | 22028 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Law clerk |
| Address | c/o F.G. Clark, 79 Pitt Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J. Clark, same address |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Promotions |
2nd Lieutenant Unit: FLY Promotion date: |
| Fate | Returned to Australia |