| Regimental number | 3440 |
| Place of birth | Port Fairy Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Albert Street, Port Fairy, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, C Perry, Albert Street, Port Fairy, Victoria |
| Enlistment date | 5 October 1914 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 1, Reinforcement 1 |
| AWM Embarkation Roll number | 25/89/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A30 Borda on 22 December 1914 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A43 Forty Three on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |