| Regimental number | 6275 |
| Place of birth | Melbourne Vic |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Kilgrudgery, Bamfield Street, Sandringham, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs N Heveren, Kilgrudgery, Bamfield Street, Sandringham, Victoria |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Returned to Australia 4 January 1919 |
| Date of death | 10 July 1965 - Hobart Repatriation Hospital |
| Place of burial | Fawkner Cemetery, Victoria. Allotment No. 3024, Compartment O. |
