| Regimental number | 57871 |
| Place of birth | Summer Hill New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Coraki, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Uncle, J Cribb, Coraki, Richmond River, New South Wales |
| Enlistment date | 14 May 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Fate | No details of fate entered on Nominal Roll |