| Regimental number | 5395 |
| Place of birth | Kerang Vic |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Gannawarra, via Kerang, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, R Heywood, Bena, South Gippsland, Victoria |
| Enlistment date | 19 February 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 12 June 1919 |
