| Regimental number | 1349 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Grey, 77 Glyde Street, Fremantle, Western Australia |
| Enlistment date | 30 October 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on 22 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
