| Regimental number | 59716 |
| Place of birth | Warren New South Wales |
| Religion | Roman Catholic |
| Occupation | Slaughterman |
| Address | Warren, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, W J Clark, Warren, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 14th (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th General Service Reinforcements |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
