| Regimental number | 3731 |
| Place of birth | Wyalong New South Wales |
| Religion | Church of England |
| Occupation | Student |
| Address | 'Dixon', Mount Street, Coogee, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Edward Thomas Clark, 'Dixon', Mount Street, Coogee, New South Wales |
| Enlistment date | 14 July 1917 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 2 January 1919 |
