| Regimental number | 1940 |
| Place of birth | Everton England |
| Religion | Church of England |
| Occupation | Cab driver |
| Address | Gladstone, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Percival, 10 Bedford Place, Rock Ferry, Cheshire, England |
| Enlistment date | 9 August 1915 |
| Date of enlistment from Nominal Roll | 19 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A36 Boonah on 22 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia 12 July 1919 |