
| Regimental number | 6363 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Student |
| Address | Railway Station, Bentleigh, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, John Keane, Railway Station, Bentleigh, Victoria |
| Previous military service | 16th A.A.M.C. |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 4, Battery 10 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |