| Regimental number | 2619 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Miller's Forest via Raymond Terrace, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs Maud Keys, Glebe, sydney, New South Wales |
| Enlistment date | 31 July 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 19 February 1919 |