| Regimental number | 2343 |
| Religion | Church of England |
| Occupation | Cook |
| Address | Berrick Street, Brighton, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Louisa Edwards, Parliament Street, Brighton, Victoria |
| Enlistment date | 25 September 1914 |
| Rank on enlistment | Driver |
| Unit name | Australian Reserve Park 1, Company 10 |
| AWM Embarkation Roll number | 25/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 20 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |