| Regimental number | 15142 |
| Place of birth | Plymouth England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Yan Yean, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs P S Keats, 9 Tenpany Street, North Fitzroy, Victoria |
| Enlistment date | 13 March 1916 |
| Date of enlistment from Nominal Roll | 8 March 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 29 July 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on 1 August 1916 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A63 Karoola on 19 August 1916 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mooltan on 28 August 1916 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Kashgar on 2 September 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Kashgar on 5 September 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A1 Kymettus on 12 September 1916 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A25 Anglo Egyptian on 19 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia 11 July 1917 |
