| Regimental number | 4194 |
| Place of birth | Wales England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | 48 Pyrmont Street, Pyrmont, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs D J Parry, Brundal Sands, Liverpool, England |
| Enlistment date | 20 October 1915 |
| Date of enlistment from Nominal Roll | 30 October 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 23 May 1917 |
