| Regimental number | 5395 |
| Place of birth | Cinderford England |
| Religion | Methodist |
| Occupation | Coal miner |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Jane Parry, 9 Oxford Street, Mantgarrow, Cardiff, South Wales, England |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/42/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 8 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 24 December 1918 |