| Regimental number | 7291 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Malvern, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs W Perryman, 31 Finlayson Street, Malvern, Victoria |
| Enlistment date | 1 December 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/23/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
