| Regimental number | 2968 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Machinist and solderer |
| Address | Putney via Ryde, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Clara Percival, 38 Smith Street, Rozelle, New South Wales |
| Enlistment date | 7 June 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Regimental number from Nominal Roll | 2968A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 9 December 1918 |
