| Regimental number | 12108 |
| Place of birth | Lochinvar New South Wales |
| Religion | Roman Catholic |
| Occupation | Grazier |
| Address | Lochinvar, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Leila Mildred Crebert, Lochinvar, New South Wales |
| Enlistment date | 14 August 1915 |
| Rank on enlistment | Sergeant (Farrier) |
| Unit name | Field Ambulance 9, Section A |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |