| Regimental number | 21587 |
| Place of birth | Hyde Park, South Australia |
| Religion | Methodist |
| Occupation | Plumber and ironworker |
| Address | 258 Riversdale Road, Auburn, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Ada Clisby, c/o Mrs Jackson, Kooyong, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Special Draft |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 7th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
