| Regimental number | 5667 |
| Place of birth | Wolverhampton England |
| Religion | Church of England |
| Occupation | Iron moulder |
| Address | Defoe Street, Punchbowl, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Croydon, 33 King Street, Sedgley, Staffordshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Discharged |