
| Regimental number | 7471 |
| Place of birth | Launceston, Tasmania |
| Religion | Church of England |
| Occupation | Assistant surveyr |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, W A Clark, 23 Mayne Street, Launceston, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/29/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Recommendations (Medals and Awards) |
Military Medal (Crossed through) Recommendation date: |
| Fate | Returned to Australia |