| Regimental number | 1403 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Sailor |
| Address | Yerone Creek, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Step-Sister, Mrs. T. Lines, Yerone Creek, New South Wales |
| Enlistment date | 1 July 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 27 October 1915 |
| Regimental number from Nominal Roll | 1403A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia 15 May 1919 |
| Miscellaneous details (Nominal Roll) | *Pery spelt Percy |
