| Regimental number | 3006 |
| Place of birth | Clare, South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Lameroo, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J W Clark, Lameroo, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 16th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Centennial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
