| Regimental number | 9367 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Isabella Heylin, Windsor, Fletcher Street, Marrickville, New South Wales |
| Enlistment date | 27 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 15 |
| AWM Embarkation Roll number | 26/44/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A26 Armadale on 21 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 6 June 1919 |
