| Regimental number | 6005 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mayfield, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs E A Crebert, Kerr Street, Mayfield, Newcastle, New South Wales |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 8 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
