| Regimental number | 2869 |
| Date of birth | |
| Place of birth | Tenterfield, New South Wales |
| School | Tenterfield Public School, New South Wales |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Goombungee, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Margaret Crisp, Tenterfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 20th Reinforcement |
| AWM Embarkation Roll number | 10/10/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Malwa on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Squadron |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Egypt, Palestine, Jordan Valley Medals: British War Medal, Victory Medal |