| Regimental number | 59404 |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Darlington, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M J Clemenson, 108 Darlington Street, Darlington, New South Wales |
| Enlistment date | 23 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 12 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
