
| Regimental number | 27 |
| Place of birth | Menangle New South Wales |
| Religion | Roman Catholic |
| Occupation | Surgical assistant |
| Address | 178 Phillip Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs James Hefferman, Menangle, Southern Line, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Campbelltown St Johns Cemetery |