| Regimental number | 65108 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, W Park, Russell Street, Clayfield, Queensland |
| Previous military service | 2nd Battalion 9th Infantry |
| Enlistment date | 24 June 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 8 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
