| Regimental number | 1665 |
| Religion | Congregational |
| Occupation | Draughtsman |
| Address | Marrickville Road, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Gladys Valerie Perry c/o J G Carroll, Livingstone Road, Marrickville, New South Wales |
| Enlistment date | 25 January 1915 |
| Rank on enlistment | Corporal |
| Unit name | 13th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on 11 February 1915 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |