| Regimental number | 13954 |
| Place of birth | Carlton Vic |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W P Heathershaw, 31 Byron Street, Moonee Ponds, Victoria |
| Enlistment date | 19 August 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 11 January 1919 |
