| Regimental number | 2027 |
| Place of birth | Sydney, New South Wales |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Jane Grey, Mica Street, Railwaytown, Broken Hill, New South Wales |
| Enlistment date | 26 May 1916 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 19 January 1919 |
