| Regimental number | 6571 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Post Office, Wellington, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Step-Father, Mr. W. Edwards, Mudgee River, via Burrendong, New South Wales |
| Enlistment date | 17 May 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Headquarters, AIF Depots in the United Kingdom |
| Fate | Returned to Australia 8 August 1919 |
