| Regimental number | 67370 |
| Place of birth | Albury New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | McAuley Street, Albury, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs M Croucher, McAuley Street, Albury, New South Wales |
| Enlistment date | 5 February 1917 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
