
| Regimental number | 18 |
| Religion | Methodist |
| Occupation | Coal miner |
| Address | Blackstone, via Ipswich, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Maud Ellis Edwards, Blackstone, via Ipswich, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Queensland Reinforcement) |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |