| Regimental number | 17709 |
| Place of birth | Malvern, South Australia |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Maitland, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs A W Clausen, Maitland, South Australia |
| Enlistment date | 27 November 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 23 July 1919 |
