| Regimental number | 28656 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 102 Royal Street, East Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs H Perrin, 102 Royal Street, East Perth, Western Australia |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 10, Reinforcement 7 |
| AWM Embarkation Roll number | 13/37/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Returned to Australia 17 June 1918 |
