| Regimental number | 3075 |
| Place of birth | Sydney New South Wales |
| Religion | No religion |
| Occupation | Bookmaker |
| Address | Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Valerie Keough, 'Laromina', Fletcher Street, Bondi, New South Wales |
| Enlistment date | 31 October 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/53/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 10 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |