| Regimental number | 37701 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Student |
| Address | Swan Street, East Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Thomas William Clark, Swan Street, East Guildford, Western Australia |
| Enlistment date | 2 January 1917 |
| Date of enlistment from Nominal Roll | 13 December 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 30 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 12 July 1919 |
