| Regimental number | 290 |
| Place of birth | Willesden England |
| Religion | Church of England |
| Occupation | Plumber |
| Address | James Street, Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Emily James Perryer, 60 Ashbournham Road, Willesden, London, NW, England |
| Enlistment date | 26 February 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 7, Reinforcement 3 |
| AWM Embarkation Roll number | 24/12/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |