| Regimental number | 5387 |
| Place of birth | Moonee Ponds Victoria |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Bedorie, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Georgina Keates, 131 Head Street, Elsternwick, Victoria |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 25 March 1919 |