| Regimental number | 4 |
| Place of birth | Kerang Vic |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Kerang PO, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | G Heffer, Kerang, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Brigade, Headquarters |
| AWM Embarkation Roll number | 10/1/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A3 Orvieto on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 5 Company, Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
