| Regimental number | 6677 |
| Place of birth | Mittagong New South Wales |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs E 0 Heaton, 24 View Street, Annandale, New South Wales |
| Enlistment date | 9 January 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 31 January 1918 |
