
| Regimental number | 16109 |
| Place of birth | Bungwahl New South Wales |
| Religion | Church of England |
| Occupation | Hotelkeeper |
| Address | Gloucester, New South Wales |
| Marital status | Widower |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs E Grimshaw, Gloucester, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 173 Date: |
| Date of death | |
| Place of burial | Katoomba Cemetery |