| Regimental number | 2012 |
| Place of birth | Lyall Victoria |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | 355 Barnard Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs Elizabeth Keighram, 355 Barnard Street, Bendigo, Victoria |
| Enlistment date | 14 June 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia 4 June 1919 |
