| Regimental number | 5/661 |
| Address | 62 Jerrold Street, Spreydon, Christchurch |
| Marital status | Single |
| Next of kin | Mother, Mrs Rose Clancy, 62 Jerrold Street, Addington, Christchurch |
| Rank on embarkation | Driver |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, Army Service Corps |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Army Service Corps/Eighth |