| Regimental number | 3977 |
| Religion | Methodist |
| Occupation | Fireman |
| Address | Reed Street, Creswick, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, A Grose, Reed Street, Creswick, Victoria |
| Enlistment date | 8 April 1915 |
| Date of enlistment from Nominal Roll | 12 April 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/24/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia 27 August 1917 |
