| Regimental number | 1665 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Margaret Hanlon, Wilson's Drive, Teneriffe, Queensland |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Regimental number from Nominal Roll | 1665A |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | a LIGHT RLY |
| Fate | Returned to Australia 11 May 1919 |
| Miscellaneous details (Nominal Roll) | *Given name Edgar Samuel |
