| Regimental number | 12721 |
| Place of birth | Goolwa South Australia |
| Religion | Methodist |
| Occupation | Mariner |
| Address | Goolwa, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs F E Grundy, Goolwa, South Australia |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 30 |
| Place of burial | Currency Creek Cemetery, South Australia |