| Regimental number | 7746 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Steward |
| Address | Cygnet, Tasmania |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs F Heaver, Cygnet, Tasmania |
| Enlistment date | 9 July 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/29/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Effective abroad (still overseas) |