| Regimental number | 7801 |
| Place of birth | VIC |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs A Crilly, 7 Laurence Street, Wodonga,Vic |
| Enlistment date | 4 October 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/19/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps Details |
| Fate | Returned to Australia 22 July 1919 |
