| Regimental number | 2041 |
| Place of birth | Murrurundi New South Wales |
| Religion | Methodist |
| Occupation | Horse driver |
| Address | St Peters, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Eliza Perry, 13 St Peters Street, St Peters, New South Wales |
| Enlistment date | 18 December 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Regimental number from Nominal Roll | 2049 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia 26 July 1919 |
