| Regimental number | 13268 |
| Place of birth | Larne, Ireland |
| Other Names | CLARKE |
| Religion | Presbyterian |
| Occupation | Motorman and cook |
| Address | Caulfield, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs J M Clark, 10 Malakoff Street, Caulfield, Victoria |
| Enlistment date | 20 July 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A63 Karoola on 7 March 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 11 May 1919 |
| Sources | NAA: B2455, CLARK Henry |