| Regimental number | 65963 |
| Place of birth | Tenterfield New South Wales |
| Religion | Methodist |
| Occupation | Ironmonger |
| Address | Islington, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, A Crisp, Rouse Street, Tenterfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th to 27th (NSW) Reinforcement |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Port Macquarie Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
