| Regimental number | 3189 |
| Place of birth | Bridgewater South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 225 Halifax Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A Heylen, 217 Halifax Street, Adelaide, South Australia |
| Enlistment date | 30 June 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 14 September 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Effective abroad (still overseas) |
