| Regimental number | 1963 |
| Place of birth | Gordon Victoria |
| Religion | Methodist |
| Occupation | Draper |
| Address | Liebig Street, Warrnambool, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Catherine Clemo, Liebig Street, Warrnambool, Victoria |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 8 May 1919 |
