| Regimental number | 5778 |
| Place of birth | Steeple Claydon England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Wondai, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs M E Grace, Stalworth-Proston, Wondai, North Coast Railway, Queensland |
| Enlistment date | 5 April 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 14/13/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
