| Regimental number | 2396 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | 21 Renwick Street, Leichhardt, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Pamela Crockett, 21 Renwick Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | 29 May 1916 |
| Date of enlistment from Nominal Roll | 8 September 1914 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/70/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 14 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 9 February 1919 |
