| Regimental number | 2565 |
| Place of birth | Semaphore South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 'Ottawa', 13 Hawksburn Road, Hawksburn, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Lilian Florence Headdey, 'Ottawa', 13 Hawksburn Road, Hawksburn, Victoria |
| Enlistment date | 10 May 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 4 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Returned to Australia 28 September 1919 |