| Regimental number | 6804 |
| Place of birth | Dudley New South Wales |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Redhead, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs A Croker, Redhead, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Work near Morcourt on 8 august 1918. Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 115 Date: |