| Regimental number | 3861 |
| Place of birth | Stoke-on-Trent England |
| Religion | Church of England |
| Occupation | Traveller |
| Address | 94 Tuckfield Street, East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, G Grundy, 27 James Street, Stoke-on-Trent, Staffordshire, England |
| Enlistment date | 3 September 1917 |
| Date of enlistment from Nominal Roll | 26 July 1917 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Convalescent Depot |
| Fate | Returned to Australia 24 January 1919 |