| Regimental number | 2355 |
| Place of birth | Grunthal, South Australia |
| Religion | Church of England |
| Occupation | Well sinker |
| Address | Henley Beach, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Susan Jane Petterjohn, Henley Beach, South Australia |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Killed in Action |
| Place of death or wounding | Supposed Polygon Wood, Belgium |
| Age at death | 33.2 |
| Age at death from cemetery records | 33 |
| Panel number, Roll of Honour, Australian War Memorial | 150 |
| Miscellaneous information from cemetery records | Parents: Albert and Susan Jane CLARK. Born at Adelaide, South Australia |
| Family/military connections | 2 cousins killed |