| Regimental number | 80 |
| Occupation | Trolleyman |
| Address | Shakespeare Street, Campsie, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Nancy Parkinson, Shakespeare Street, Campsie, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 4th Light Horse Brigade Ammunition Reserve, 6th Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on |