| Regimental number | 2649 |
| Place of birth | Donald, Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Jeffcott South, Donald, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Susan Clements, Jeffcott South, Donald, Victoria |
| Enlistment date | 13 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Mongolia on 11 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 11 July 1917 |
