| Regimental number | 2119 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Driver |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs. Amelia Heylen, 217 Halifax Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/14/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
| Date of death | |
| Age at death | 56 |
| Place of burial | AIF Cemetery, West Terrace, Adelaide, South Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
