| Regimental number | 1473 |
| Place of birth | Portland N/A |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Portland, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Wm. Parker, Portland, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 2, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A27 Southern on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st TWB |
| Recommendations (Medals and Awards) |
Military Medal *London Gazette Supplement 30287 of 17 September 1917. Recommendation date: Bar to Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 9 Date: |