| Regimental number | 663 |
| Religion | Church of England |
| Occupation | Cook |
| Address | East Ringwood, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs U Clemson, East Ringwood, Victoria |
| Enlistment date | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Australian Flying Corps, No 2 Squadron, B Flight |
| AWM Embarkation Roll number | 8/5/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Miscellaneous details (Nominal Roll) | see other |