| Regimental number | 6050 |
| Place of birth | Burke New South Wales |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | Rose Street, Enfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Louisa Ellen Clements, Rose Street, Enfield, New South Wales |
| Enlistment date | 21 August 1916 |
| Date of enlistment from Nominal Roll | 20 August 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 2 January 1919 |
