| Regimental number | 117 |
| Religion | Methodist |
| Occupation | Pit wheeler |
| Address | Lambton, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Henry Grant, Lloyd Street Lambton, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps 1, Company 1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |