| Regimental number | 1019 |
| Place of birth | N/A England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Yanbaburra via Cairns, Queensland |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Katie Park, Yanbaburra via Cairns, Queensland |
| Enlistment date | 25 June 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/16/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A1 Hymettus on 17 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 5 February 1919 |
