| Regimental number | 5742 |
| Place of birth | Maitland New South Wales |
| Religion | Church of England |
| Occupation | Dealer |
| Address | South Singleton, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs J C Grace, Edward Street, South Singleton, New South Wales |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Tunnelling Companies Details |
| Fate | Returned to Australia 8 April 1917 |