| 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 | 19 June 1918 |
| 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 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 8 September 1919 |
| Date of death | 16 November 1990 |
| Place of burial | Port Macquarie Cemetery |
