| Regimental number | 6483 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Warren, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs. E. Edwards, Obley Road, Dubbo, New South Wales |
| Enlistment date | 5 March 1916 |
| Date of enlistment from Nominal Roll | 3 May 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 31 May 1919 |