| Regimental number | 5358 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kuranda, Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr J Crothers, Kuranda, Cairns, Queensland |
| Enlistment date | 15 January 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |