| Regimental number | 10420 |
| Place of birth | Malvern Victoria |
| Religion | Church of England |
| Occupation | Decorator |
| Address | 5 Leslie Street, East St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs H Grey, 5 Leslie Street, East St Kilda, Victoria |
| Previous military service | 22nd Battery Australian Field Artillery |
| Enlistment date | 24 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 2 |
| AWM Embarkation Roll number | 13/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 16 January 1919 |
