| Regimental number | 864 |
| Place of birth | Bingara New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 38 Devonshire Street, West Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs. Mary Jane Edmunds, 38 Devonshire Street, West Maitland, New South Wales |
| Enlistment date | 28 December 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A15 Star Of England on 8 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 29 January 1916 |
