| Regimental number | 550 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Berwick, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M Hill, 94 Dover Street, Richmond, Victoria |
| Enlistment date | 11 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 9 |
| AWM Embarkation Roll number | 24/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 6 December 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 9 August 1919 |
| Miscellaneous details (Nominal Roll) | *Given name Clarence Juan |
