| Regimental number | 2189 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Burrowa, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Catherine Perron, Mitchell Street, Bendigo, Victoria |
| Enlistment date | 24 April 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |