| Regimental number | 10091 |
| Religion | Church of England |
| Occupation | Scaffolder |
| Address | Newtown, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Marian De-Gruchy, 46 Bucknell Street, Newtown, New South Wales |
| Enlistment date | 14 August 1915 |
| Date of enlistment from Nominal Roll | 29 August 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 8, Reinforcement 5 |
| AWM Embarkation Roll number | 26/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 10 September 1917 |
