
| Regimental number | 6983 |
| Place of birth | Narre Warren Victoria |
| Religion | Roman Catholic |
| Occupation | Military clerk |
| Address | Keswick, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs T Crotty, 7 Frederick Street, Glenferrie, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 3rd Battalion |
| Promotions |
2nd Lieutenant Unit: FLY Promotion date: |
| Fate | Returned to Australia |