| Regimental number | 22509 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Bullfinch, Western Australia |
| Marital status | Widower |
| Age at embarkation | 34 |
| Next of kin | Father, W Eddy, Dongonocking, East Wagin, Western Australia |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Howitzer Brigade 23, Reinforcement 1 |
| AWM Embarkation Roll number | 13/133/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | see other |