| Regimental number | 21778 |
| Place of birth | Yorkshire England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Chermside Street, Teneriffe, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs I.M. Heaton, Riverlea, Chermside Street, Tteneriffe, Brisbane, Queensland |
| Enlistment date | 24 September 1917 |
| Date of enlistment from Nominal Roll | "EA" |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Regimental number from Nominal Roll | 21779 |
| Rank from Nominal Roll | Private |
| Miscellaneous details (Nominal Roll) | Headquarters Deps. in UK |
