| Regimental number | 5793 |
| Place of birth | Grafton New South Wales |
| Religion | Baptist |
| Occupation | Motor mechanic |
| Address | c/o W Ford, Queen Street, Grafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Ella Crispin c/o W Ford, Queen Street, Grafton, New South Wales |
| Enlistment date | 13 May 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 17 March 1919 |
