| Regimental number | 5112 |
| Place of birth | Pannomooloo Vic |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Port Darwin, Northern Territory |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs M Heeps, 299 Egan Street, Kalgoorlie, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
