| Regimental number | 4712 |
| Place of birth | Penola, South Australia |
| Religion | Presbyterian |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mrs J Clark, Penola, South Australia |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Reinforcement 7 |
| AWM Embarkation Roll number | 13/31/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Persia on |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia |
| Family/military connections | Brother: 1814 Pte David Rose CLARK, 36th Bn, killed in action, 8 June 1917. |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |