| Regimental number | 1119 |
| Place of birth | Grafton New South Wales |
| Religion | Methodist |
| Occupation | Coal miner |
| Address | Aberdeen Street,Scone, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Thomas Clark, Railway Hotel, Scone, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
