| Regimental number | 6001 |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 8 Manallack Street, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mr J H Clark, 8 Manallack Street, Brunswick, Victoria |
| Enlistment date | 15 February 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
