| Regimental number | 3802 |
| Place of birth | Northampton Western Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, J Grey, Northampton, Western Australia |
| Enlistment date | 30 August 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 | 1st Pioneer Battalion |
| Fate | Returned to Australia 8 August 1916 |
