| Regimental number | 5579 |
| Place of birth | Mathinna, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hanna Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Ethel Mary Edwards, Pearcedale via Somerville, Victoria |
| Enlistment date | 28 April 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 4 May 1917 |