| Regimental number | 4139 |
| Place of birth | Yorkshire, England |
| Religion | Church of England |
| Occupation | Mason |
| Address | Renmark, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs L Clemens, Renmark, South Australia |
| Enlistment date | 24 August 1915 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 24 June 1916 |
