
| Regimental number | 58931 |
| Place of birth | Stockport England |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Stanmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, A Heap, 80 Railway Parade, Stanmore, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |