| Regimental number | 3217 |
| Place of birth | Boonah Queensland |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Boonah, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Bridget Perrem, Boonah, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 8th Field Company Engineers |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Boonah Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
