| Regimental number | 6751 |
| Place of birth | Cudgee Victoria |
| Religion | Baptist |
| Occupation | Farmer |
| Address | Cudgee, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Father, Mr W Grant, Cudgee, Victoria |
| Enlistment date | 15 September 1916 |
| Date of enlistment from Nominal Roll | 1 September 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 31 October 1917 |
