| Regimental number | 6563 |
| Place of birth | St Arnaud, Victoria |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | 403 Errard Street, South Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M W Perry, 403 Errard Street, South Ballarat, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Photo: Andrew Richardson |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 64 |
| Place of burial | St Arnaud Cemetery, Victoria |
