| Regimental number | 3083 |
| Place of birth | Pembrokeshire Wales |
| Religion | Congregational |
| Occupation | Miner |
| Address | Collie, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs A Edwards, Llangolman, Clyndenwin, South Wales |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on 13 October 1915 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 28 February 1919 |
