| Regimental number | 4391 |
| Place of birth | Greenock Scotland |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | 5 The Strand, Moonee Ponds, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Annie Clark, 5 The Strand, Moonee Ponds, Melbourne, Victoria |
| Enlistment date | 30 December 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 21 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 26 September 1917 |
| Miscellaneous details (Nominal Roll) | *Noted CLARK George Henry NR |
