| Regimental number | 5070 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 'Hawthorne', Military Road, Neutral Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Mr. H.W. Clark, 'Hawthorne,' Military Road, Neutral Bay, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Trench Mortar Battery |
| Fate | Returned to Australia |
| 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
