| Regimental number | 6245 |
| Place of birth | Newport Wales |
| Religion | Baptist |
| Occupation | Plasterer |
| Address | 1, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs M Edwards, 40 Mary Street, Newport, Monmouthshire, England |
| Enlistment date | 15 June 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 22 July 1917 |
