| Regimental number | 1604 |
| Place of birth | Gippsland Victoria |
| Religion | Presbyterian |
| Occupation | Miner |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss Lena Keys, Perth PO, Perth, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT RMS Mongolia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
