| Regimental number | 4378 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Floral Cottage, Farr Street, Rockdale, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Agnes Edwards, Braema, Loames, Pitt Hill, Lewisham, London |
| Enlistment date | 15 April 1915 |
| Rank on enlistment | Private |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | see other |
