| Regimental number | 5360 |
| Place of birth | Barnsley England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 18 Elizabeth Street, Waterloo, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs M A Clarkson, 74 Springvale Periston near Sheffield, England |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 27 August 1917 |
