| Regimental number | 16404 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Victoria Park, Western Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Sarah Keightley, Coolgardie Street, Victoria Park, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 4, Reinforcement 8 |
| AWM Embarkation Roll number | 22/14/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
