| Regimental number | 12747 |
| Place of birth | Willunga South Australia |
| Religion | Methodist |
| Occupation | Engineer's draughtsman |
| Address | 15 1st Avenue, St Peters, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs C M Perry, 15 1st Avenue, St Peters, South Australia |
| Enlistment date | 20 December 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 3 July 1919 |
