| Regimental number | 19328 |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Jane Grey, 28 Clancy Street, Boulder, Western Australia |
| Enlistment date | 19 December 1916 |
| Rank on enlistment | Sapper |
| Unit name | Special Draft Reinforcements Signal Service (Egypt) |
| AWM Embarkation Roll number | 22/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
