| Regimental number | 4131 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Loco storeman |
| Address | Macquarie Road, Auburn, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs C Heathcote, Macquarie Road, Auburn, Sydney, New South Wales |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Acting Sergeant |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Army Provost Corps |
| Fate | Effective abroad (still overseas) |