| Regimental number | 2260 |
| Place of birth | Warrnambool, Victoria |
| Religion | Church of England |
| Occupation | Teacher |
| Address | Grace Avenue, Warrnambool, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs J Clark, Grace Avenue, Warrnambool, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/25/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous information from cemetery records | Parents: Charles and Mark CLARK |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 69 |
| Place of burial | Warrnambool Cemetery, Victoria |