| Regimental number | 4248 |
| Place of birth | Cumberland New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | C/o G Long, Clackline, Western Australia |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | ..., Mrs E Edwards, 66 Market Street, Millom Cumberland, England |
| Enlistment date | 14 October 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 17 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 11 January 1918 |
