| Regimental number | 2251 |
| Place of birth | Mitchell Queensland |
| Religion | Church of England |
| Occupation | Drover |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs. Ethel Annie Crouch, Wyandra, Queensland |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/7/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Miscellaneous details (Nominal Roll) | missing page |
