| Regimental number | 5331 |
| Place of birth | Kalyonlis Western Australia |
| Religion | Church of England |
| Occupation | Blacksmith's striker |
| Address | 95 Richardson Street, Boulder City, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs May Grant, 95 Richardson Street, Boulder City, Western Australia |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 29 September 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia 1 February 1918 |