| Regimental number | 4996 |
| Place of birth | England |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Eaglefield Street, Beaudesert, Queensland |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Winifred Doris Clacy, Eaglefield Street, Beaudesert, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
