| Regimental number | 3128 |
| Place of birth | Bendemeer New South Wales |
| Religion | Church of England |
| Occupation | Jackeroo |
| Address | 'Yonka', Parkes Street, Kirribilli, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M R Park, 'Yonka', Parkes Street, Kirribilli, North Sydney, New South Wales |
| Enlistment date | 3 January 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 24th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
