| Regimental number | 4760 |
| Place of birth | Port Macdonnell South Australia |
| Religion | Methodist |
| Occupation | Postal assistant |
| Address | 'Cavan', Port McDonald, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Angas May Perryman, Port McDonald, South Australia |
| Enlistment date | 22 March 1915 |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 1 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 15 June 1915 |
| Regimental number from Nominal Roll | 17700 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Convalescent Depot |
| Fate | Returned to Australia 25 September 1919 |
