| Regimental number | 2683 |
| Religion | Presbyterian |
| Occupation | Packer |
| Address | Bairnsdale, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Mary Keys, 228 McKean Street, North Fitzroy, Victoria |
| Enlistment date | 4 August 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/76/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |