| Regimental number | 1417 |
| Place of birth | Mansfield, Victoria |
| Religion | Church of England |
| Occupation | Contractor |
| Address | PO, North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Mrs Catherine Edwards, PO, North Melbourne, Victoria |
| Enlistment date | 17 September 1914 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | a S C Dtls |
| Fate | Returned to Australia 1 November 1917 |
