| Regimental number | 2119 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 24 Athol Street, Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Ellen Heywood, Athol Street, Prahran, Victoria |
| Enlistment date | 18 September 1914 |
| Rank on enlistment | Fitter |
| Unit name | 300th Mechanical Transport, Army Service Corps (17th Divisional Ammunition Column (9th Army Service Corps) |
| AWM Embarkation Roll number | 25/99/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 22 December 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 9th Company, Australian Army Service Corps |
| Fate | Discharged 13 February 1916 |
