
| Regimental number | 4376 |
| Date of birth | |
| Place of birth | Claremont, Western Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Shenton Road, Claremont, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M A Edwards,Shenton Road, Claremont, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A54 Runic on |
| Regimental number from Nominal Roll | NIG |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Promotions |
2nd Lieutenant Unit: ART Promotion date: Lieutenant Unit: AFA 12 AB Promotion date: |
| Fate | Returned to Australia |