| Regimental number | 3052A |
| Place of birth | Melbourne Victoria |
| Religion | Baptist |
| Occupation | Engineer |
| Address | 121 Sackville Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Groom, 121 Sackville Street, Collingwood, Victoria |
| Enlistment date | 10 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Osterley on 29 September 1915 |
| Regimental number from Nominal Roll | 3052 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Effective abroad (still overseas) |
