| Regimental number | 14024 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 57 Leichhardt Street, Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Hilda Jane Clancy, 75 Leichhardt Street, Waverley, Sydney, New South Wales |
| Enlistment date | 18 October 1916 |
| Rank on enlistment | Private |
| Unit name | Army Service Corps Reinforcement 24 |
| AWM Embarkation Roll number | 25/105/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Motor Transport Company |
| Fate | Returned to Australia 18 January 1919 |