| Regimental number | 691 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Kia Ora, Clark Street, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Dorothy Short, 17 Winchester Street, Moonee Ponds, Victoria |
| Previous military service | 55th Infantry |
| Enlistment date | 22 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 15, Reinforcement 12 |
| AWM Embarkation Roll number | 24/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 10 June 1917 |
| Miscellaneous details (Nominal Roll) | *Given name Percival Victor |
