| Regimental number | 347 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Wool classer |
| Address | Gloucester, Belmont Road, Mosman, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Francis Clark, Gloucester, Belmont Road, Mosman, New South Wales |
| Enlistment date | 12 February 1915 |
| Rank on enlistment | Lance Corporal |
| Unit name | 22nd Battalion, B Company |
| AWM Embarkation Roll number | 23/39/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 13 February 1917 |
| Miscellaneous details (Nominal Roll) | *Noted CLARK Melbourne NR |
