| Regimental number | 4897 |
| Place of birth | Torquay England |
| Religion | Church of England |
| Occupation | Steward |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs R Clifford, Cambridge Street, Hammersmith, London, England |
| Enlistment date | 11 January 1917 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |