| Regimental number | 2640 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Glasspacker |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Flora Crockford, 1 Kelsey Street, Bethnal Green, London, England |
| Enlistment date | 26 April 1916 |
| Date of enlistment from Nominal Roll | 24 April 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Discharged 24 August 1919 |
