| Date of birth | |
| Place of birth | Charlton Victoria |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | West Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs A Park, 535 King Street, West Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Captain Unit: MED 5 Fld Amb Promotion date: |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette' No. 31448 (11 July 1919); 'Commonwealth Gazette' No. 124 (30 October 1919). |
| Fate | Returned to Australia |