| Regimental number | 7053 |
| Place of birth | Cloncurry Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cloncurry, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, George E W Clark, Cloncurry, Queensland |
| Enlistment date | 28 November 1917 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/43/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 1 August 1919 |
