| Regimental number | 623 |
| Place of birth | Brisbane, Queensland |
| Religion | Church of England |
| Occupation | Salesman |
| Address | c/o Miss Ethel Grant, Muers Street, Ascot, Brisbane |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Miss E. Grant, Muers Street, Ascot, Brisbane |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | AATD |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 48 |
| Place of burial | Toowong Cemetery, Queensland |