| Regimental number | 9749 |
| Religion | Roman Catholic |
| Occupation | Chemist |
| Address | Clifton Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs A Stucliffe, 38 Berry Street, Clifton Hill, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Casualty Clearing Station, 4th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Casualty Clearing Station |
| Fate | Returned to Australia 14 October 1916 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
