| Regimental number | 5806 |
| Place of birth | St George Queensland |
| Religion | Church of England |
| Occupation | Drover |
| Address | Mitchell, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Susan Clanchy, Mitchell, Queensland |
| Enlistment date | 19 June 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 22 December 1918 |
