| Regimental number | 19987 |
| Place of birth | Bothwell Tas |
| Religion | Church of England |
| Occupation | School master |
| Address | 8 Molle Street, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, T E Headlam, 8 Molle Street, Hobart, Tasmania |
| Previous military service | 92nd Infantry |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 8, Battery 31 |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
