| Regimental number | 3999 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 0 B Groom, Irishtown via Stanley, Tasmania |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, F F Groom, Irishtown via of Stanley, Tasmania |
| Enlistment date | 21 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 24 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 31 January 1918 |
