| Regimental number | 3270 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | 156 Edgeware Road, Enmore, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, J W Clark, Bridgewater Street, St Pancras, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
