| Regimental number | 2958 |
| Place of birth | Grenfell New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Grenfell, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, George H Pereira, Springvale, Cowra Road, Grenfell, New South Wales |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 19 October 1917 |