| Regimental number | 2913 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Martha Clancy, Wollongong Road, Arncliffe, New South Wales |
| Enlistment date | 21 November 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on 23 December 1916 |
| Regimental number from Nominal Roll | 6337 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 1 July 1919 |
