| Regimental number | 5103 |
| Place of birth | Perth Western Australia |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Kumminin via Bruce Rock, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Mr W J Grose, Kumminin via Bruce Rock, Western Australia |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |