| Regimental number | 4461 |
| Place of birth | Warrnambool, Victoria |
| School | State School, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mailors Flat, Warrnambool, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M Clark, Mailors Flat, Warrnambool, Victoria |
| Previous military service | Nil |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Killed in Action |
| Place of death or wounding | Villers-Bretonneux, France |
| Age at death | 30 |
| Place of burial | Millencourt Communal Cemetery Extension (Row B, Grave No. 43), France |
| Panel number, Roll of Honour, Australian War Memorial | 141 |
| Miscellaneous information from cemetery records | Parents: Charles and Mary Clark, 31 Kruger Street, Warrnambool, Victoria |
| Family/military connections | Brother: George Clark killed in action August 1915. |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
