| Regimental number | 1421 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Robshaw Street off Wattle Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A Grigg, Robshaw Street off Wattle Street, Bendigo, Victoria |
| Enlistment date | 29 October 1914 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
