| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs A A Clark, Mosman Street, Charters Towers, Queensland |
| Previous military service | Australian Army Medical Corps Res |
| Enlistment date | 1 March 1916 |
| Rank on enlistment | HON LT |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Dental Corps |
| Fate | Returned to Australia 26 December 1918 |
