| Regimental number | 4782 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Felt hatter |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E Heaney, 231 Strickland Flats, Dale Avenue, Sydney, New South Wales |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 5 July 1919 |
