| Regimental number | 417 |
| Place of birth | Tunbridge Wells England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 18 North parade, Torrensville, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Louisa Mary Keely, Toll Farm, Bodle Street, Hilsham, Sussex, Eng. |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, B Company |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 9 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 16 January 1919 |
