| Regimental number | 639 |
| Place of birth | Georgetown Tasmania |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Georgetown, Tasmania |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Julia Jane Parish,Georgetown, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, C Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Convalescent Depot |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
