| Regimental number | 20871 |
| Place of birth | Brighton England |
| Religion | Congregational |
| Occupation | Pharmacist |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 46 |
| Next of kin | Father, Rev H J Crouch, 11 Trossacks Road, East Dulwich, London SE, England |
| Enlistment date | 20 May 1918 |
| Rank on enlistment | Staff Sergeant |
| Unit name | No 9 Section, Sea Transport Staff |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Miscellaneous details (Nominal Roll) | missing page |