| Regimental number | 15879 |
| Place of birth | Fitzroy, Victoria |
| Religion | Unitarian |
| Occupation | Clerk |
| Address | East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs S A Eden, 3 Allen Street, East Brunswick, Victoria |
| Enlistment date | 23 November 1915 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 19 June 1919 |
