| Regimental number | 9589 |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Keswick, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S Parry, Hampton Road, Keswick, South Australia |
| Enlistment date | 21 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian Stationary Hospital, 15th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Returned to Australia 1 July 1919 |
