| Regimental number | 13940 |
| Place of birth | Bendigo, Victoria |
| Religion | Baptist |
| Occupation | Clerk |
| Address | Elsternwick, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, J Clemens, Stanley, via Beechworth, Victoria |
| Enlistment date | 1 September 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia 12 June 1919 |
