| Regimental number | 6096 |
| Place of birth | Woodside South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Thebarton, South Australia |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Hilda Heitman, 17 Chappil Street, Thebarton, South Australia |
| Enlistment date | 7 September 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 6 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 25 January 1919 |