| Regimental number | 5176 |
| Place of birth | Kadina South Australia |
| Religion | Salvation Army |
| Occupation | Miner |
| Address | Wallaroo Mines, Wallaroo, South Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs M G Perry, Wallaroo Mines, South Australia |
| Enlistment date | 20 January 1916 |
| Date of enlistment from Nominal Roll | 26 January 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 18 December 1918 |
