| Regimental number | 6754 |
| Place of birth | Wickham New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Victor Harbour, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs H Grosvenor, Prospect Road, Prospect, South Australia |
| Enlistment date | 19 September 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 7 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 20 May 1919 |
