| Regimental number | 5013 |
| Place of birth | Southport England |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Hospital for Insnace, Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Mary Parks, 158 Lenaker Street, Southport, England |
| Enlistment date | 10 May 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | aa MC |
| Fate | Returned to Australia 28 September 1917 |