| Regimental number | 509 |
| Place of birth | Parramatta New South Wales |
| Religion | Roman Catholic |
| Occupation | Grocer |
| Address | Dunoon, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Parry, Broadwater, Richmond River, New South Wales |
| Enlistment date | 31 October 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 21 December 1914 |
