| Regimental number | 1069 |
| Place of birth | Bingara New South Wales |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Coroda via Barraba, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, A Park, Coroda via Barraba, New South Wales |
| Enlistment date | 4 January 1916 |
| Date of enlistment from Nominal Roll | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 1 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 5 November 1917 |
