| Regimental number | 3896 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | 5 Brown Street, Newtown, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs H Perrim, 5 Brown Street, Newtown, New South Wales |
| Enlistment date | 4 November 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 10 March 1918 |
| Date of death | 5 July 1934 |
| Place of burial | Rookwood Necropolis |
