| Regimental number | 7364 |
| Religion | Church of England |
| Occupation | Chemist's assistant |
| Address | Grantham, Grantham Street, Burwood, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Fanny Elizabeth Parry, Grantham, Grantham Street, Burwood, New South Wales |
| Enlistment date | 19 October 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Casualty Clearing Station 2 |
| AWM Embarkation Roll number | 26/63/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Miscellaneous details (Nominal Roll) | see other |
