
| Regimental number | 541 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Mary Crouch, 28 Thorne Villa, Holloway London, England |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | 16th Battalion, A Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Miscellaneous details (Nominal Roll) | missing page |