| Regimental number | 3096 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Acrobat |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, W Clifford, GPO, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
