| Regimental number | 2173 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Bread carter |
| Address | Margaret Road, Midland Junction, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Emily Elizabeth Clatworthy, Smiths Mill PO, Smiths Mill, Western Australia |
| Enlistment date | 16 December 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Signal Troop Engineers |
| Fate | Returned to Australia 26 July 1919 |
