| Regimental number | 5582 |
| Place of birth | Ilford England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Como, Illawarra Line, New South Wales |
| Marital status | Widower |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Isabella Celest Rosalind Perkin, Hedboro Hatch near Ilford, Essex, England |
| Enlistment date | 25 March 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 20 December 1917 |