| Regimental number | 858 |
| Place of birth | Echuca Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o D. Crockett, Village Settlement, Echuca North, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, David Crockett, Village Settlement, Echuca North, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Botany Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
