| Regimental number | 3571 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Saddler |
| Address | Jolimont, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Julia Crockett, 36 Cardigan Terrace, Jolimont, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/61/3 |
| Embarkation details | Unit embarked from Albany, Western Australia, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 44th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
