| Regimental number | 4030 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Sidmouth, Tasmania |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Clark, Sidmouth, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 185 Date: |
| Family/military connections | Brother: 4029 Pte Frederick Geroge CLARK, 47th Bn, killed in action, 8 August 1916. |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
