| Regimental number | 1196 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Machinist |
| Address | 153 Edward Street, E Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, May Edwards, 140 Albion Street, South Yarra, Victoria |
| Enlistment date | 11 March 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A68 Anchises on 2 September 1915 |