
| Regimental number | 3673 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E Headon, 85 Weymouth Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 43 |
| Place of burial | AIF Cemetery, West Terrace, Adelaide, South Australia |