| Regimental number | 3696 |
| Place of birth | Rhye England |
| Religion | Church of England |
| Occupation | Barman |
| Address | Forest Lodge, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs E Parry, 3 Vale Road, Rhyl, North Wales |
| Enlistment date | 19 November 1917 |
| Date of enlistment from Nominal Roll | 26 November 1917 |
| Rank on enlistment | Private |
| Unit name | Camel Corps, July 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Company |
| Fate | Returned to Australia 15 July 1919 |
