| Place of birth | Castlemaine Vic |
| Religion | Church of England |
| Occupation | Soldier |
| Address | St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Thirza Priscilla Heath, 15 Bowen Street, St Kilda, Victoria |
| Previous military service | A A M C Perm Services |
| Enlistment date | 17 January 1917 |
| Rank on enlistment | QM and HON CAPT |
| Unit name | Australian Camel Field Ambulance |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Effective abroad (still overseas) |
