| Regimental number | 15863 |
| Place of birth | Burnley Victoria |
| Religion | Roman Catholic |
| Occupation | Wheelwright |
| Address | South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, F Crotty, 302 Toorak Road, South Yarra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |