
| Regimental number | 3719 |
| Place of birth | Deep Creek New South Wales |
| Religion | Methodist |
| Occupation | Teamster |
| Address | Coombell, via Grafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Crouch, Coombell via Grafton, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 4th Division Headquarters |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Other details |
War service: Egypt, Western Front Medals: British War Medal, Victory Medal |