| Religion | Presbyterian |
| Occupation | Medical practitioner |
| Address | Midland Junction, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs C J Clark, Stafford Street, Midland Junction, Western Australia |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A1 Hymettus on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
