
| Regimental number | 1603 |
| Place of birth | Winchcombe, Gloucestshire |
| School | Church of England - Elementary, England |
| Age on arrival in Australia | 22 |
| Religion | Church of England |
| Occupation | Carpenter |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Father, Robert Clark, Thornbury, Gloucester, England |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Died of disease |
| Place of death or wounding | Ismailia Military Hospice, Egypt |
| Age at death | 34 |
| Age at death from cemetery records | 34 |
| Place of burial | Ismailia War Memorial Cemetery (Row B, Grave No. 64), Egypt. |
| Panel number, Roll of Honour, Australian War Memorial | 79 |
| Miscellaneous information from cemetery records | Parents: Robert and Mary Ann CLARK, Thornbury, Glos., England |