| Regimental number | 3999 |
| Place of birth | Wellington England |
| Religion | Congregational |
| Occupation | General grocer |
| Address | Wattle Grove, Queen's Park, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Eva Gregory, Wattle Grove, Queen's Park, Western Australia |
| Enlistment date | 6 April 1916 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on 28 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 27 January 1919 |