| Regimental number | 10628 |
| Place of birth | Bingara New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Ejanding, via Dowerin, Western Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Nephew, P T Crowe, Northam Brewery, Northam, Western Australia |
| Enlistment date | 15 September 1915 |
| Date of enlistment from Nominal Roll | 3 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 6, Reinforcement 2 |
| AWM Embarkation Roll number | 13/34/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 4 May 1917 |
