| Regimental number | 3136 |
| Place of birth | Grenfell New South Wales |
| Religion | Roman Catholic |
| Occupation | Blacksmith labourer |
| Address | Perthville, via , Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A M Edward, Perthville, via Bathurst, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 9 February 1919 |