| Regimental number | 2612 |
| Place of birth | Woodbridge England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cranbourne Road, Dandenong, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, C Keen, Whitehorse Road, Croydon, Victoria |
| Enlistment date | 23 June 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Makarini on 15 September 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 28 March 1919 |
