| Regimental number | 2404 |
| Place of birth | Mackay Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Homebush-road, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, George Crouch, Homebush-road, Rosella, Mackay, Queensland |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/7/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on 31 March 1916 |
| Miscellaneous details (Nominal Roll) | missing page |