| Regimental number | 3748 |
| Place of birth | Brunswick, Victoria |
| Religion | Presbyterian |
| Occupation | Electrician |
| Address | 25 Catherine Street, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Grigs, 25 Catherine Street, Subiaco, Western Australia |
| Enlistment date | 1 July 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 20 January 1916 |
