| Regimental number | 19536 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Draughtsman |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W R Clark, 185 Spring Street, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
