| Regimental number | 1136 |
| Place of birth | Kadina South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | 'Fairview', Kadina, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ruth Heaven, 'Fairview', Kadina, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Stationary Hospital 1 |
| AWM Embarkation Roll number | 26/70/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
