| Regimental number | 2266 |
| Place of birth | Grafton New South Wales |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Newbold Station, Clarence River, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Percy Charles Clarence, Newbold Station, Clarence River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Division MTMB |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
