| Regimental number | 6869 |
| Place of birth | Rokeby Tasmania |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Rokeby, Tasmania |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Mr C F Percy, Rokeby, Tasmania |
| Enlistment date | 2 October 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 27 July 1917 |
