| Regimental number | 2016 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Fitter |
| Address | 11 Fitzroy Street, Footscray, Victoria |
| Marital status | S NOK |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Edwards, 11 Fitzroy Street, Footscray, Victoria |
| Enlistment date | 5 July 1915 |
| Date of enlistment from Nominal Roll | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 10 April 1919 |
