| Regimental number | 516 |
| Place of birth | Sarina Queensland |
| Religion | Church of England |
| Occupation | Engine driver and mechanic |
| Address | Nelson Street, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs Phillis Elsie Heywood, c/o Mrs Lambert, Walker Street, North Sydney, New South Wales |
| Enlistment date | 21 August 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 12, Reinforcement 8 |
| AWM Embarkation Roll number | 24/17/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Machine Gun Company |
| Fate | Returned to Australia 3 July 1917 |
| Date of death | 1 May 1959 |
| Place of burial | Mt Thompson Crematorium |
