
| Regimental number | 1017 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Hugh Heavener, Cordial Factory, Blayney, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, W R Heavener, c/o Hugh Heavener, Cordial factory, Blayney, New South Wales |
| Enlistment date | |
| Rank on enlistment | SIG |
| Unit name | 7th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A66 Uganda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death |