| Regimental number | 500 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Lance Cottage, 45 Smith Terrace, Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Sydney H Clark, Lance Cottage, 45 Smith Terrace, Glenelg, South Australia |
| Previous military service | 22nd ALH |
| Enlistment date | |
| Rank on enlistment | Able Bodied Driver |
| Unit name | Royal Australian Naval Bridging Train Reinforcement |
| AWM Embarkation Roll number | 34/12/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Royal Australian Naval Bridging Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
