| Regimental number | 1925 |
| Place of birth | Colac Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Grant Street, Colac, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Sarah parker, Grant Street, Colac, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 13th Light Horse Regiment |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 1 Date: |