| Regimental number | 53A |
| Religion | Presbyterian |
| Occupation | Engineer |
| Address | North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Brother, W Park, 19 Rowe Street, North Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |