| Regimental number | 90 |
| Place of birth | Townsville Queensland |
| Religion | Roman Catholic |
| Occupation | Stockman |
| Address | Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Marion Rose Clayworth, Gordon Street, Richmond Hill, Charters Towers, Queensland |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, Machine Gun Section |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 20 May 1919 |