
| Regimental number | 2716 |
| Place of birth | Mackay Queensland |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Bow Street, Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Lizzie Crisp, Bow Street, Charters Towers, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Regimental Quartermaster Sergaent |
| Unit from Nominal Roll | 15th Battalion |
| Recommendations (Medals and Awards) |
Meritorious Service Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 110 Date: |