| Regimental number | 1968 |
| Place of birth | Antrim Ireland |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Goondi, Innisfail, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Adam Park, Clements Hill, Valley Clare, Antrim, Ireland |
| Enlistment date | 11 April 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 19 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Squadron |
| Fate | Returned to Australia 28 August 1919 |
