| Regimental number | 2549 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Matthew Clark, 248 Bathurst Street, Hobart, Tasmania |
| Enlistment date | 23 August 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 4 June 1919 |
