| Regimental number | 1958 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Proserpine, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Westcott, 102 Princess Street, Brunswick, Victoria |
| Enlistment date | 18 December 1915 |
| Place of enlistment | Townsville, Queensland |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 2 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
| Miscellaneous details (Nominal Roll) | *Clement spelt Clements |
| Miscellaneous details | True name: Charles Clemont KEELEY |