| Regimental number | 28369 |
| Place of birth | Katamatite, Victoria |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Youanmite, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Edis, Youanmite, Victoria |
| Enlistment date | 4 April 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 12, Reinforcement 7 |
| AWM Embarkation Roll number | 13/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 31 May 1919 |
