| Regimental number | 930 |
| Religion | Baptist |
| Occupation | Labourer |
| Address | 9 Atherton Road, Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M A Edwards, 9 Atherton Road, Northcote, Victoria |
| Enlistment date | 10 June 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on 20 August 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |