| Regimental number | 2803 |
| Religion | Church of England |
| Occupation | Fencer |
| Address | Marrickville, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Fanny Edwards, Fotheringham Lane, Marrickville, Sydney, New South Wales |
| Enlistment date | 9 August 1916 |
| Date of enlistment from Nominal Roll | 5 August 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Regimental number from Nominal Roll | 2803A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 12 June 1919 |