| Regimental number | 3830 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Julia Edwards, 10 Astyas Row, Essex Road, Islington, London, England |
| Enlistment date | 2 December 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
