| Regimental number | 4763 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Wharf labourer |
| Address | George Street, Alberton, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Edwards, George Street, Alberton, South Australia |
| Enlistment date | 1 November 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 5 April 1919 |
