| Regimental number | 2275 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of Christ |
| Occupation | Upholsterer |
| Address | 3 Dover Street, Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Thomas Clark, 3 Dover Street, Richmond, Victoria |
| Enlistment date | 3 May 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/76/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 18 January 1919 |
