| Regimental number | 123 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Driver Mt |
| Address | 376 Johnston Street, Abbotsford, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Margaret Peverill, 376 Johnston Street, Abbotsford, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 1 Squadron, Headquarters |
| AWM Embarkation Roll number | 8/4/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Flying Corps |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette', Second Supplement No. 30480 (16 January 1918); 'Commonwealth Gazette' No. 76 (23 May 1918). |
| Fate | Returned to Australia |