| Regimental number | 5601 |
| Place of birth | Stoealham England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | 121 Gilles Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Violet Madeline Keen, 16 Marion Crescent, off Carrington Street, Adelaide, South Australia |
| Enlistment date | 27 April 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 1, Reinforcement 10 |
| AWM Embarkation Roll number | 26/70/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 14 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Stationary Hospital |
| Fate | Returned to Australia 18 October 1917 |
