| Regimental number | 17896 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs A E Clayton, 8 Rotherwood Street, Richmond, Victoria |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 6 September 1919 |
