| Regimental number | 8667 |
| Place of birth | Collingwood Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 8 Packington Place, Windsor East, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Francis I Perry, 64 Bay View Street, East Prahran, Victoria |
| Enlistment date | 2 March 1915 |
| Rank on enlistment | Private |
| Unit name | Depot Unit Of Supply 5 |
| AWM Embarkation Roll number | 25/107/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Depot Unit of Supply |
| Fate | Returned to Australia 31 July 1918 |
