| Regimental number | 3330 |
| Place of birth | Anakie Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Newtown, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Grist, 44 Retreat Road, Newtown Geelong, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Regimental number from Nominal Roll | 3330A |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 22nd AC Light Horse Regiment |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 115 Date: |