| Regimental number | 1639 |
| Place of birth | Devon England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 92 Surrey Street, South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Amy Edwards, 92 Surrey Street, South Yarra, Victoria |
| Enlistment date | 1 March 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/76/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 17 July 1916 |
