
| Regimental number | 19692 |
| Place of birth | Narromine New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Narromine, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Edwards, Amhurst, Narromine, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Effective abroad (still overseas) |