| Regimental number | 3282 |
| Place of birth | Ballarat Victoria |
| Religion | Presbyterian |
| Occupation | Plumber |
| Address | 28 Clyde Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs J Crouch, 28 Clyde Street, Ballarat, Victoria |
| Enlistment date | 2 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/25/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A71 Nestor on 11 October 1915 |
| Miscellaneous details (Nominal Roll) | missing page |