| Regimental number | 1005A |
| Place of birth | Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sunny Hills, Kaimkillenbun, Dalby, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ellen Grant, Sunny Hills, Kaimkillenbun, Dalby, Queensland |
| Enlistment date | 24 June 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/16/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A1 Hymettus on 17 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 29 April 1919 |
