| Regimental number | 18203 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs M A Grigsby, 37 Wood Street, Ponsonby, Auckland, NZ |
| Enlistment date | 5 March 1917 |
| Rank on enlistment | Private |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia 1 April 1919 |
