| Regimental number | 2979 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs Maria Heathcote, 118 Australia Street, Newtown, New South Wales |
| Enlistment date | 30 June 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 2 March 1919 |
