| Regimental number | 3148 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Mason |
| Address | 225 Halifax Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Amelia Heylen, 225 Halifax Street, Adelaide, South Australia |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A7 Medic on 12 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia 12 July 1919 |
