| Regimental number | 3418 |
| Place of birth | Bowen Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Crombie Street, Oriel Road, Clayfield, Queensland |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs M K Park, Crombie Street, Clayfield, Queensland |
| Enlistment date | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Seang Bee on 21 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 22 February 1917 |
