| Regimental number | 1677 |
| Place of birth | Port Adelaide South Australia |
| Religion | Salvation Army |
| Occupation | Miner |
| Address | Oakey Park, Lithgow, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Annie Sophia Perry, Oakey Park, Lithgow, New South Wales |
| Enlistment date | |
| Rank on enlistment | TPR |
| Unit name | Australian Remount Unit 2, Squadron 6 |
| AWM Embarkation Roll number | 28/3/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Remount Unit |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
