| Regimental number | 3566 |
| Place of birth | Surry Hills New South Wales |
| Religion | Church of England |
| Occupation | Packer |
| Address | Midlothian, Silver Street, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, W J Crockford, North Harbour, Manly, New South Wales |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 11 April 1916 |