| Regimental number | 12968 |
| Place of birth | Parramatta New South Wales |
| Religion | Church of England |
| Occupation | Food and Drug inspector |
| Address | Health Department, Brisbane, Queensland |
| Marital status | Widower |
| Age at embarkation | 29 |
| Next of kin | Father, A Mason, Manly, Sydney, New South Wales |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | Sanitary Section 3 |
| AWM Embarkation Roll number | 26/78/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Sanitation Section |
| Fate | Returned to Australia 9 March 1919 |
| Miscellaneous details (Nominal Roll) | *second given name Edgehill on photocopy |
