| Regimental number | 1475 |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Albert Street off Quay, Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Alice Parker, Albert Street off Quay, Rockhampton, Queensland |
| Enlistment date | 17 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashrobra on 4 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |