| Regimental number | 3576 |
| Place of birth | Yass New South Wales |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Rye Park, Burrowa, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Uncle, Samuel Edwards, Rye Park, Burrowa, NSW. |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |