| Regimental number | 6481 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Cradock, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr H E Clark, Cradock, Tasmania |
| Enlistment date | 22 May 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 16 July 1917 |
