| Regimental number | 1742 |
| Place of birth | Beaumaris Anglesea Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Aunt, Mrs Mary Ellen Perry, 26 Mountain Row, Slaechid, Bangor, North Wales |
| Enlistment date | 3 February 1916 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd AUST GRAVES REG |
| Fate | Effective abroad (still overseas) |