| Regimental number | 315 |
| Religion | Methodist |
| Occupation | School teacher |
| Address | Concord, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs E M Clarke, Addison Avenue, Concord, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board No 2 Hospital Ship Kanowna on |
| Miscellaneous details (Nominal Roll) | see other |