| Regimental number | 3800 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Edgehill Louisa Road, Long Nose Point Balmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E J Crockey, Stratford on Tyne, Taunton Somerset, England |
| Enlistment date | 2 September 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
