| Regimental number | 12259 |
| Place of birth | Murrindindi, Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | State School, Wandong, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, James Clark, State School, Wandong, Victoria |
| Enlistment date | 29 July 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 21 December 1918 |
