| Regimental number | 57776 |
| Place of birth | Nowra New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Shannonbrook, Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W Perkins, Shannonbrook, Casino, New South Wales |
| Enlistment date | 7 May 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 4 December 1918 |