| Regimental number | 2556 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | Myrtle Street, Clifton Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Father, John Chadwin Clark, Raleigh Street, Northcote, Victoria |
| Enlistment date | 13 December 1915 |
| Date of enlistment from Nominal Roll | 20 December 1918 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/76/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 10 December 1918 |
