| Regimental number | 5717 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | At Sea |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Mary Gertrude Crouch, Urena Road, Wagga, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Boxhill Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
