| Regimental number | 1512 |
| Place of birth | Bondi New South Wales |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Amelia Villa, Railway Street Kogarah, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs J Keen, Amelia Villa, Railway Street, Kogarah, Sydney, New South Wales |
| Enlistment date | 11 December 1914 |
| Rank on enlistment | Corporal |
| Unit name | 3rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on 11 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
