
| Regimental number | 17527 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Draper |
| Address | Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M I Cribb, Denmark Hill, Ipswich, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on |