| Regimental number | 4999 |
| Place of birth | Forbes New South Wales |
| Religion | Presbyterian |
| Occupation | Breadcarter |
| Address | Templar Street, Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Cripps, Templar Street, Forbes, New South Wales |
| Enlistment date | 8 December 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 31 May 1919 |
