| Regimental number | 14805 |
| Place of birth | Gippsland, Victoria |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | Coburg, Victoria |
| Marital status | Widower |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs M Clementson, 9 Moor Street, Coburg, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corp |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
