
| Regimental number | 9748 |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Euroa, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, H Parker, Railway Street, Euroa, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Casualty Clearing Station, 4th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Miscellaneous details (Nominal Roll) | see other |