| Regimental number | 5107 |
| Place of birth | Darlington New South Wales |
| Religion | Church of England |
| Occupation | Stove fitter |
| Address | Mangrove Mountain, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Father, Mr C Grant, Wyong, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 11 January 1918 |
| Date of death | 16 June 1929 |
| Place of burial | Rookwood Necropolis |
