| Regimental number | 1222 |
| Place of birth | Watlongton England |
| Religion | Church of England |
| Occupation | Groom |
| Marital status | Widower |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Katherine Mary Keen, Brook Street, Watlington, Wallingford, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 2, Head-Quarters |
| AWM Embarkation Roll number | 28/3/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Remounts |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
