| Regimental number | 3471 |
| Place of birth | Kaniva Victoria |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Gulcara, Tara Line, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, T R Crouch, Gulcara, Tara Line, Queensland |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/43/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Miscellaneous details (Nominal Roll) | missing page |