| Regimental number | 36613 |
| Place of birth | Australia |
| Occupation | Carpenter |
| Next of kin | Mother, Mrs V M Heazlewood, 364 Cargill Road, South Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 15 |