| Regimental number | 1380 |
| Place of birth | Eldorado Victoria |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Albury PO, Albury, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, A Croucher, c/o Albury PO, Albury, New South Wales |
| Enlistment date | 12 June 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 3 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Miscellaneous details (Nominal Roll) | missing page |
