| Regimental number | 6777 |
| Place of birth | Woolwich England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 28 Wigram Road, Glebe Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M A Parker, 76 Frederick Place, Plumstead, Kent, England |
| Enlistment date | 14 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
