| Regimental number | 3091 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Laverton, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Elizabeth Eddy, Fimiston PO, Boulder, Western Australia |
| Enlistment date | 29 September 1915 |
| Date of enlistment from Nominal Roll | 17 September 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 18 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 27 April 1919 |
