| Regimental number | 9101 |
| Religion | Church of England |
| Occupation | Telephone cable joiner |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Wilhelmina De La Perrelle, Percy Street, Warwick, Queensland |
| Enlistment date | 24 December 1915 |
| Date of enlistment from Nominal Roll | 24 December 1915 |
| Rank on enlistment | Driver |
| Unit name | 8th Field Company Engineers, Reinforcement 7 |
| AWM Embarkation Roll number | 14/27/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | agb Depot |
| Fate | Returned to Australia 16 January 1919 |
