| Regimental number | 6996 |
| Place of birth | Kadina South Australia |
| Religion | Presbyterian |
| Occupation | Navvy |
| Address | Wagin, Western Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Brother, Mr R Grose, Kadina, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |