| Regimental number | 1092 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Ambulance officer |
| Address | 15 Fairmount Street, Petersham, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Miss Ruby C Perigo, 15 Fairmount Street, Petersham, Sydney, New South Wales |
| Enlistment date | 30 September 1914 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, B Company |
| AWM Embarkation Roll number | 23/25/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A24 Benalla on 19 October 1914 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 15 February 1918 |