| Regimental number | 2017 |
| Place of birth | Broken Hill New South Wales |
| Religion | Baptist |
| Occupation | Student |
| Address | Georgetown, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, William Clark, Georgetown, South Australia |
| Enlistment date | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | 2nd Air Mechanic |
| Unit from Nominal Roll | 4th Squadron, Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
