| Regimental number | 14300 |
| Place of birth | Ballarat Vic |
| Religion | Church of England |
| Occupation | Masseur |
| Address | Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs L Heinz, Haymarket Hotel, Geelong, Victoria |
| Enlistment date | 17 December 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Sea Transport Staff Section 1 |
| AWM Embarkation Roll number | 26/104/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 12 October 1916 |
