| Regimental number | 2858 |
| Place of birth | Yanipy Victoria |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Homeville via West Maitland, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Enid Agnes Perry Homeville via West Maitland, New South Wales |
| Enlistment date | 8 November 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 21 March 1919 |