
| Religion | Church of England |
| Occupation | Nurse |
| Address | Cremorne, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, J B Clark, 'Fiesole', Claude Avenue, Cremorne, New South Wales |
| Enlistment date | |
| Rank on enlistment | Staff Nurse |
| Unit name | Australian Army Nursing Service |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Kashgar on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |