| Regimental number | 2891 |
| Place of birth | Grenfell New South Wales |
| Religion | Church of England |
| Occupation | Wellborer |
| Address | Forbes, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Annie Marion Crouch, Underwood Street, Forbes, New South Wales |
| Enlistment date | 15 September 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/74/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Miscellaneous details (Nominal Roll) | missing page |
| Date of death | 18 January 1959 |
| Age at death | 66 |
| Place of burial | Forbes Cemetery, New South Wales |
