| Regimental number | 3516 |
| Place of birth | Lake Cargelligo New South Wales |
| Occupation | Shearer |
| Address | Gilgandra, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Annie Theresa Edwards, Murrumbidgee Irrigation Area, Leeton, New South Wales |
| Enlistment date | 20 January 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 1 August 1919 |
