| Regimental number | 1182 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | 101 Elizabeth Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs J Bearpark, 101 Elizabeth Street, Paddington, Sydney, New South Wales |
| Enlistment date | 21 September 1914 |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade Train 4 |
| AWM Embarkation Roll number | 25/97/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A39 Port Macquarie on 21 December 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 7th Company, Australian Armny Service Corps |
| Fate | Returned to Australia 3 January 1916 |