| Regimental number | 6116 |
| Place of birth | Oamarn, New Zealand |
| Religion | Church of England |
| Occupation | Buttermaker |
| Address | 52 City Road, Darlington, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Olive Green, 52 City Road, Darlington, Sydney, New South Wales |
| Enlistment date | 4 March 1915 |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade 5, 15th Company, Army Service Corps |
| AWM Embarkation Roll number | 25/103/1 |
| Embarkation details | Unit embarked from |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
