| Regimental number | 376 |
| Place of birth | Brighton England |
| Religion | Church of England |
| Occupation | Musician |
| Address | Mount Lawley, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Sydney H Clutsom, London County and Westminster Banking Co Ltd., Putney, London, England |
| Enlistment date | 4 April 1916 |
| Rank on enlistment | Private |
| Unit name | Divisional Cyclist Company 5, Reinforcement 2 |
| AWM Embarkation Roll number | 12/5/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
