| Regimental number | 200 |
| Place of birth | Birmingham, England |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Francis Road, Edgbaston, Birmingham, England |
| Marital status | Single |
| Age at embarkation | 30 |
| Height | 5' 5.5" |
| Weight | 134 lbs |
| Next of kin | Sister, Mrs Esther Annie Hollom, Francis Road, Edgbaston, Birmingham, England |
| Previous military service | Nil |
| Enlistment date | |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, A Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Egypt, Gallipoli Embarked Alexandria to join the Mediterranean Expeditionary Force, Gallipoli, 16 August 1915. Returned to duty, 7 September 1915 (no details recorded: chronic diarrhoea). Admitted to HS 'Valdivia', 14 October 1915; transferred to 3rd Auxiliary Hospital, Heliopolis, 21 October 1915 (diarrhoea); to NZ&A Convalescent Hospital, Helouan, 29 November 1915 (dysentery). Commenced return to Australia from Suez on board HS 'Karoola', 20 January 1916; disembarked, 21 February 1916; discharged, Sydney (medically unfit), 20 May 1916. Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Botany Cemetery |
| Sources | NAA: B2455, CLARK John Charles |