| Regimental number | 9148 |
| Place of birth | Derby England |
| Religion | Congregational |
| Occupation | Traveller |
| Address | Lyndhurst, Park Avenue, Burwood |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Edwin Grundy, Box 75 West Barrington, Rhode Island, U S A |
| Enlistment date | 1 October 1915 |
| Rank on enlistment | Corporal |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Discharged 13 February 1920 |