| Regimental number | 5569 |
| Place of birth | Inglewood, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 170 Dryburgh Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Annie Clancy, 356 Dryburgh Street, North Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
