| Regimental number | 3053 |
| Place of birth | Geelong, Victoria |
| Religion | Methodist |
| Occupation | Stove fitter |
| Address | Chilwell, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Charles Clark, 7 Bond Street, Chilwell Geelong, Victoria |
| Enlistment date | 7 September 1915 |
| Date of enlistment from Nominal Roll | 9 July 1915 |
| Rank on enlistment | Acting Corporal |
| Unit name | 21st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 60th Battalion |
| Fate | Returned to Australia 12 November 1916 |