| Regimental number | 2378 |
| Place of birth | Bermondsey England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Glascotte House, Park Avenue, Mosman, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, A C Grimson, Glascotte House, Park Avenue, Mosman, Sydney, New South Wales |
| Enlistment date | 22 July 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 5 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 21 April 1917 |
| Date of death | 8 June 1971 |
| Place of burial | Rookwood Necropolis |
