| Regimental number | 6762 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Soldier |
| Address | Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Nicholoas Grose, 9 Queen Victoria Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | 21st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Corps Headquarters |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 113 Date: |