| Regimental number | 509 |
| Place of birth | Dubbo New South Wales |
| Religion | Presbyterian |
| Occupation | Jackerman |
| Address | Gipps Street, Dubbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, John A Clark, Gipps Street, Dubbo, New South Wales |
| Enlistment date | 11 February 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Effective abroad (still overseas) |
