| Regimental number | 4759 |
| Place of birth | Young New South Wales |
| Religion | Church of England |
| Occupation | Shunter |
| Address | First Street, Left, Boolaroo, Cockle Creek, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs A Crisp, Boolaroo, Cockle Creek, New South Wales |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star of England on 8 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 20 April 1915 |