| Regimental number | 34750 |
| Place of birth | Bolton England |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | 5 Glenview Street, Paddington, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs I A Grimshaw, 5 Glenview Street, Paddington, Sydney, New South Wales |
| Enlistment date | 7 December 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, April 1917 Reinforcements |
| AWM Embarkation Roll number | 13/128/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 10 April 1919 |
