| Regimental number | 29679 |
| Place of birth | St Clements England |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | 63 O'Grady Street, Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, H Crouch, 11 Fisher Street, Sandwich, Kent, England |
| Enlistment date | 3 March 1916 |
| Rank on enlistment | Corporal |
| Unit name | Howitzer Brigade 119 |
| AWM Embarkation Roll number | 13/136/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 3 October 1916 |
| Miscellaneous details (Nominal Roll) | missing page |