| Regimental number | 14816 |
| Place of birth | Parkes New South Wales |
| Religion | Church of England |
| Occupation | Chemist's assistant |
| Address | Mittagong, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, W H Green, Lawson, Blue Mountains, New South Wales |
| Enlistment date | 7 December 1915 |
| Date of enlistment from Nominal Roll | 13 December 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 14 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 25 November 1917 |