| Regimental number | 1974 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Despatch clerk |
| Address | Margaret Street, Neutral Bay, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Rebecca Adeline Parker, Margaret Street, Neutral Bay, Sydney, New South Wales |
| Enlistment date | 19 February 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/70/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on 23 June 1916 |
| Regimental number from Nominal Roll | 1974a |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 5 April 1918 |
