| Regimental number | 2214 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Kent Street, East Bundaberg, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Agnes Park, Turton, Kent Street, East Bundaberg, Queensland |
| Enlistment date | 13 January 1916 |
| Date of enlistment from Nominal Roll | 29 March 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 3 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 1 July 1919 |
