| Regimental number | 2550 |
| Place of birth | Mittagong New South Wales |
| Religion | Church of England |
| Occupation | Railway timekeeper |
| Address | Church Street, Mittagong, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Bridget Annie Clerkin, Church Street, Mittagong, New South Wales |
| Enlistment date | 26 July 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |