| Regimental number | 2022 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 83 The Dwellings, Tilbury Docks, London, Essex, England |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, William George Clark, 83 The Dwellings, Tilbury Docks, London, Essex, England |
| Enlistment date | 8 June 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Morea on 26 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Returned to Australia 31 July 1918 |
