| Regimental number | 6762 |
| Place of birth | Kingston N/A |
| Religion | Church of England |
| Occupation | Jeweller |
| Address | Devonport, Tasmania |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs M Keen, West Devonport, Tasmania |
| Enlistment date | 10 August 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 27 August 1917 |
