| Regimental number | 6500 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs E McClutchy, 207 Melville Street, Hobart, Tasmania |
| Enlistment date | 24 July 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 16 March 1918 |
