| Regimental number | 2621 |
| Date of birth | |
| Place of birth | Bathurst, New South Wales |
| School | Public School, Bathurst, New South Wales |
| Religion | Presbyterian |
| Occupation | Fitter |
| Address | York Street, Katoomba, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, G B Clark, York Street, Katoomba, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Other details from Roll of Honour Circular | "He was to receive a commission the day after his death. At time of his death he was acting Company Sergeant Major". Details from Roll of Honour Circular |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Place of death or wounding | Peronne, France |
| Age at death | 25.4 |
| Place of burial | Heath Cemetery, Harbonnieres, France. Plot 526 |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
