
| Regimental number | 1163 |
| Place of birth | Townsville Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Margaret Ellen Grendon, Eimeo, Mackay, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, A Company |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 219 Date: |