| Regimental number | 4687 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 332 Cardigan Street, Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Ellen Edwards, 231 Elgin Street, Carlton, Melbourne, Victoria |
| Enlistment date | 14 March 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 11 January 1918 |