| Regimental number | 6539 |
| Place of birth | Muswellbrook New South Wales |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Musswellbrook, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, C S Clark, Wybong Road, via Muswellbrook, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |