| Regimental number | 2603 |
| Place of birth | Yacka South Australia |
| Religion | Church of England |
| Occupation | Agent |
| Address | Yacka, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Henry Robert Groom, Yacka, South Australia |
| Enlistment date | 21 June 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/17/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A73 Commonwealth on 21 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 3 May 1919 |