| Regimental number | 3002 |
| Place of birth | St Arnaud Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 396 Burwood Road, Glenferrie, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs William Keys, 396 Burwood Road, Glenferrie, Victoria |
| Enlistment date | 2 June 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A6 Clan Maccorquodale on 19 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Signal Squadron |
| Fate | Returned to Australia 9 July 1919 |
