| Regimental number | 20304 |
| Religion | Church of England |
| Occupation | Sanitary engineer |
| Address | Enmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Richard Gerard Van Heythuysen, 14 Charles Street, Enmore, New South Wales |
| Previous military service | 6th Field Company Army Engineers |
| Enlistment date | 7 August 1917 |
| Rank on enlistment | Sapper |
| Unit name | Field Company Engineers, September 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 8th Field Company Engineers |
| Fate | Returned to Australia 5 July 1919 |
