| Regimental number | 11954 |
| Place of birth | Digby Vic |
| Religion | Methodist |
| Occupation | Storeman |
| Address | Mrs J Heazlewood, Digby Post Office, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, R H Heazlewood, Digby Post Office, Victoria |
| Enlistment date | 30 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 14 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 20 December 1917 |
