| Regimental number | 21204 |
| Place of birth | Glenreagh New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | P O Glenreagh, North Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs L Crabbe, P O Glenreagh, North Coast, New South Wales |
| Enlistment date | 3 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 36th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 11 May 1919 |
