| Regimental number | 6134 |
| Place of birth | Brentford England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 41 Greens Road, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Aunt, Mrs L E Edwards, 2 Church Villas, Lileham, England |
| Enlistment date | 30 April 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 31 October 1917 |
| Date of death | 30 August 1976 |
| Place of burial | Centennial Park Cemetery |
