| Regimental number | 1400 |
| Place of birth | Hobart, Tasmania |
| Religion | Roman Catholic |
| Occupation | Hotel waiter and labourer |
| Address | c/o J Bradley, Augusta Terrace, Lansdowne Crescent, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Brother, James Clark, Redfern, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1st Australian Clearing Hospital |
| AWM Embarkation Roll number | 26/102/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAS A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Casualty Clearing Station |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
