| Regimental number | 8185 |
| Religion | Salvation Army |
| Occupation | Teacher |
| Address | North Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs F Heazlewood, 11 Douch Street, North Williamstown, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous details (Nominal Roll) | see other |