| Regimental number | 3791 |
| Place of birth | Haddon Vic |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 185 Cardigan Street, Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs R E Heaney, 165 Hoddle Street Abbotsford, Victoria |
| Enlistment date | 22 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 2 January 1919 |
