| Date of birth | |
| Place of birth | Aden Arabia |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Bigge Street, Liverpool, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, K C Headlam, Bigg Street, Liverpool, New South Wales |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 3rd Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 3rd Battalion |
| Promotions |
Lieutenant Unit: 4th Machine Gun Company Promotion date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
