| Regimental number | 2681 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Bond Street, West Hindmarsh, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Benjamin Clark, Bond Street, West Hindmarsh, South Australia |
| Previous military service | 76th Infantry |
| Enlistment date | 23 November 1914 |
| Rank on enlistment | Driver |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Field Ambulance |
| Fate | Returned to Australia 5 April 1918 |
