| Religion | Church of England |
| Occupation | Physician |
| Address | North Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Champion-DeCrespigny, Stangways Terrace, North Adelaide, South Australia |
| Previous military service | A Army Medical Corps |
| Enlistment date | |
| Rank on enlistment | Colonel |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 02/11/1918 |
| Fate | No details of fate entered on Nominal Roll |