| Regimental number | 2100 |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Kensington, Victoria |
| Marital status | Married |
| Age at embarkation | 47 |
| Next of kin | Wife, Mrs D J Edwards, 1 Ormond Street, Kensington, Victoria |
| Enlistment date | 22 February 1915 |
| Rank on enlistment | Sergeant |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 25 February 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 8 October 1915 |