| Regimental number | 509 |
| Place of birth | Dorset England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Glebe, Richmond River, Coraki, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Julia Keynes, Oakfield, Dorset, England |
| Enlistment date | 28 July 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 9, Reinforcement 7 |
| AWM Embarkation Roll number | 24/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 9 December 1918 |
