| Regimental number | 3719 |
| Place of birth | Mount Barker, South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Mount Barker, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Clancy, Mount Barker, South Australia |
| Enlistment date | 12 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Machine Gun Company |
| Fate | Returned to Australia 13 April 1919 |
