| Regimental number | 2171 |
| Place of birth | Peterborough England |
| Religion | Methodist |
| Occupation | Fruiterer |
| Address | Maitland Road, Mayfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Georgina Maud Perkins, Maitland Road, Mayfield, New South Wales |
| Enlistment date | 8 March 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A46 Clan MacGillivray on 3 May 1916 |
