| Regimental number | 7479 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Collie, Western Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Blodwen Grant, Jones Street, Collie, Western Australia |
| Enlistment date | 1 February 1917 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Broad Gauge Railway Operating Company |
| Fate | Effective abroad (still overseas) |