| Regimental number | 8104 |
| Place of birth | Birkenhead England |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Miss Gertrude Clutterbuck, 125 Beaconsfield Road, Middlesex, Southall, En England |
| Enlistment date | 10 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | 6th Field Company Engineers, Reinforcement 6 |
| AWM Embarkation Roll number | 14/25/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 6th Field Company Engineers |
| Fate | Returned to Australia 29 May 1919 |