| Regimental number | 17529 |
| Place of birth | Tamworth England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Warwick, Queensland |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs E E Clarson, Yan Gan, Warwick, Queensland |
| Enlistment date | 14 April 1917 |
| Rank on enlistment | Private |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |