| Regimental number | 21861 |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, W Crump, 22 Mayfield Street, Coburg, Victoria |
| Previous military service | 2nd Battalion 39th Infantry |
| Enlistment date | 28 September 1918 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Albany, Western Australia, on board HMAT A15 Port Sydney on 24 August 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |