| Regimental number | 16021 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Postal assistant |
| Address | East Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Samuel Clark, 132 Powlett Street, East Melbourne, Victoria |
| Enlistment date | 8 April 1916 |
| Date of enlistment from Nominal Roll | 30 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | Australian Wireless Squadron 1, Reinforcement 4 |
| AWM Embarkation Roll number | 22/16/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Mooltan on 22 August 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st A.N.Z.W.B.S. |
| Fate | Returned to Australia 22/03/1219 |
