| Regimental number | 7882 |
| Place of birth | Springwood New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Mudgee, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Christine Croucher, Perry Street, Mudgee, New South Wales |
| Enlistment date | 27 November 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/21/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Miscellaneous details (Nominal Roll) | missing page |