| Regimental number | 5750 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Midgley Street, Corrimal, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, E Heath, Burrowa, New South Wales |
| Enlistment date | 4 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 7 July 1919 |