| Regimental number | 473 |
| Place of birth | Maitland New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Islington, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Arletter Keevers, Chin Chin Street, Islington, New South Wales |
| Enlistment date | 15 January 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, B Company |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 20 May 1919 |