
| Regimental number | 10788 |
| Date of birth | |
| Place of birth | Port Adelaide, South Australia |
| School | St Peter's Collegiate School, Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Hewitt Avenue, Rose Park, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Maud Alice Mary Grunike, Hewitt Avenue, Rose Park, South Australia |
| Previous military service | 79th Infantry |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Signal Company 3 |
| AWM Embarkation Roll number | 22/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 219 Date: |
| Discharge date | |
| Other details | War service: France, Belgium. Gassed at Villers-Bretonneux, France; invalided to Point Remy Hospital; recovered; returned to unit, 30 June 1918. |