| Regimental number | 3756 |
| Place of birth | Castlemaine, Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Queen's Park, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, H A Clark, Bulrush Park, Queen's Park, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Karrakatta Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
