| Regimental number | 17916 |
| Place of birth | Brighton England |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | East St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs I J Parkinson, 6 Loch Avenue, East St Kilda, Victoria |
| Enlistment date | 7 June 1916 |
| Date of enlistment from Nominal Roll | 9 July 1917 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Corporal (Voyage only) |
| Unit from Nominal Roll | no 9th Dental Unit |
| Fate | Discharged 20 May 1919 |
