| Regimental number | 274 |
| Religion | Roman Catholic |
| Occupation | Student |
| Address | Windsor, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs H J Grant, 'Emohruo', High Street, Windsor, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| AWM Embarkation Roll number | 26/104/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |