| Regimental number | 1652 |
| Place of birth | Cardiff Wales |
| Religion | Church of England |
| Occupation | Station overseer |
| Address | c/o Captain A. Smith, "Myerla," Connell's Bay, Hurstville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs. Emma Sarah Parry, 51 Connaught Road, Roath, Cardiff, South Wales |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 18 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
