| Regimental number | 15571 |
| Place of birth | North Wales England |
| Religion | Church of England |
| Occupation | Watchmaker |
| Address | Horsham, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs H Edwards, 27 Pen-y-Bryn, Wrexham, North Wales |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 20 October 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Effective abroad (still overseas) |
