
| Religion | Church of England |
| Occupation | Nurse |
| Address | Mudgee, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Brother, W J Clarke, Baroona, Lue, New South Wales |
| Enlistment date | |
| Rank on enlistment | Staff Nurse |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |