| Regimental number | 2653 |
| Place of birth | Kadina South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Tower Street, Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, W H Percy, Tower Street, Charters Towers, Queensland |
| Enlistment date | 8 February 1915 |
| Rank on enlistment | Driver |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from on board HMAT A30 Borda on 16 June 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 21 March 1919 |
