| Regimental number | 2876 |
| Place of birth | St Marys New South Wales |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | St Mary's, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Eliza Esther Parkin, Weston Road, St Mary's, New South Wales |
| Enlistment date | 27 September 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Regimental number from Nominal Roll | 2876b |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | ADBD |
| Fate | Returned to Australia 8 September 1919 |
