| Regimental number | 6636 |
| Place of birth | Ascot Vale Victoria |
| Religion | Presbyterian |
| Occupation | Salesman |
| Address | 44 St Leonards Road, Ascot Vale, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Father, A Park, 44 St Leonards Road, Ascot Vale, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
