| Regimental number | 7890 |
| Religion | Presbyterian |
| Occupation | Builder |
| Address | Norwood, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Clara Blanche Park, 32 Copper Street, Kent Town, Norwood, South Australia |
| Enlistment date | 12 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | 3rd Field Company Engineers, Reinforcement 17 |
| AWM Embarkation Roll number | 14/22/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Miscellaneous details (Nominal Roll) | see other |