| Regimental number | 1166 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs B Park, Kingsowborne, England |
| Enlistment date | 7 September 1914 |
| Rank on enlistment | Lance Corporal |
| Unit name | 11th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | a Prov C |
| Fate | Effective abroad (still overseas) |
