| Regimental number | 4055 |
| Place of birth | Penrith New South Wales |
| Religion | Roman Catholic |
| Occupation | Railway porter |
| Address | Ariah Park, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Heavey, 67 Palace Street, Petersham, New South Wales |
| Enlistment date | 27 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 14 January 1917 |
| Date of death | 2 June 1969 |
| Place of burial | Woronora Cemetery |
