| Regimental number | 15799 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Mosman, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs H E Clough, 'Holm Chuse', Vincenz Street, Mosman, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 25 March 1919 |
