| Regimental number | 15386 |
| Place of birth | Murphys Creek Queensland |
| Religion | Methodist |
| Occupation | Motor mechanic |
| Address | Newmarket, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs M C Park, Sandeman Street, Grange Estate, Newmarket, Queensland |
| Enlistment date | 3 May 1917 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Mechanical Transport Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Motor Transport Section |
| Fate | Effective abroad (still overseas) |
