| Regimental number | 6084 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Carter |
| Address | Ballarat East, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs R R Perry, Cnr Joseph And Elsworth Streets, Ballarat East, Victoria |
| Enlistment date | 15 February 1916 |
| Date of enlistment from Nominal Roll | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 2 June 1919 |